| Mrs Sudha R Kolli, MD | |
|
262 Livingston Ave, New Brunswick, NJ 08901-3058 | |
| (732) 249-2044 | |
| (732) 790-2626 |
| Full Name | Mrs Sudha R Kolli |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 262 Livingston Ave, New Brunswick, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174623508 | NPI | - | NPPES |
| 8181705 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MA69513 (New Jersey) | Primary |
| 207R00000X | Internal Medicine | 25MA06951300 (New Jersey) | Secondary |
| Entity Name | Robert Wood Johnson Physician Enterprise |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245587922 PECOS PAC ID: 5597917633 Enrollment ID: O20121218000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sudha R Kolli, MD 262 Livingston Ave, New Brunswick, NJ 08901-3058 Ph: (732) 249-2044 | Mrs Sudha R Kolli, MD 262 Livingston Ave, New Brunswick, NJ 08901-3058 Ph: (732) 249-2044 |
Jennifer Waldmann, M.D Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-996-6741 | |
Mohamad Soud, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 317 George St Ste 440, New Brunswick, NJ 08901 Phone: 732-994-3278 Fax: 732-354-3181 | |
Lokesh Lahoti, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-823-3000 | |
Dr. Imran Khan, M.D., PH.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Paterson St, Suite 5200, New Brunswick, NJ 08901 Phone: 732-235-6531 | |
Dr. Robert Louis Wong, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St Ste 5100, New Brunswick, NJ 08901 Phone: 732-235-6583 Fax: 732-235-7238 | |
Eric A Rubin, Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 195 Little Albany St, New Brunswick, NJ 08901 Phone: 732-235-2465 | |
Haris Ishaque Rana, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8564 Fax: 732-745-9156 |