Pavan Kolluri, M.D.

NPI #1477586428 in South Windsor, Connecticut

Provider Information

NPI Number: 1477586428
Entity Type: Individual
Name: Pavan Kolluri, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Jul 9, 2006
Last Updated: Oct 15, 2008

Practice Location

Address: 204 TALCOTT RIDGE RD
City: South Windsor
State: Connecticut
ZIP Code: 06074-2394
Phone: (860) 648-4032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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