Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME106241 | FL |
NPI | 1013150051 |
---|---|
Provider Name | Dr. Hari K. Kolli |
First Address | Tallahassee, FL 32308-5479 |
Second Address | Tallahassee, FL 32308-5479 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 05/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002627600 | (05) | FL |
060754100 | (05) | FL |