| Sudha Kolli Md Pa | |
|
330 Livingston Ave New Brunswick NJ 08901 | |
| (732) 249-2044 | |
| (732) 249-6225 |
| Full Name | Sudha Kolli Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Livingston Ave, New Brunswick, New Jersey |
| Authorized Official Name and Position | Sudha Kolli (PHYSICIAN) |
| Authorized Official Contact | 7322492044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudha Kolli Md Pa Po Box 349 Basking Ridge NJ 07920 Ph: (732) 249-2044 | Sudha Kolli Md Pa 330 Livingston Ave New Brunswick NJ 08901 Ph: (732) 249-2044 |
| NPI Number | 1134252232 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134252232 | NPI | - | NPPES |
| 2075976001 | Other | KEYSTONE | |
| 28658 | Other | UNIVERSITY HEALTH PLAN | |
| 01000598201 | Other | AMERICHOICE | |
| 1165329 | Other | HORIZON NJ HEALTH | |
| P2212167 | Other | OXFORD | |
| 2K0392 | Other | HEALTHNET | |
| 8181705 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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