Praveen Kollipara
Hematology & Oncology
7910 W Jefferson Blvd Ste 108
Fort Wayne
, Indiana 46804-4159
Praveen Kollipara
Hematology & Oncology
7910 W Jefferson Blvd Ste 108
Fort Wayne
, Indiana 46804-4159
(260) 483-1911
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Praveen Kollipara
- 7910 W Jefferson Blvd Ste 108
- Fort Wayne, IN
- Zip : 46804-4159
- Fax : (260) 483-1911
- Phone : (260) 484-8830
Second Address
- Praveen Kollipara
- 7910 W Jefferson Blvd Ste 108
- Fort Wayne, IN
- Zip : 46804-4159
- Fax : (260) 483-1911
- Phone : (260) 484-8830
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FAQs
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What type of doctor is Praveen Kollipara
In what state does Praveen Kollipara practice in?
Where is Praveen Kollipara ’s practice located?
What is Praveen Kollipara ’s gender?
Is Praveen Kollipara a sole practitioner?
Is Praveen Kollipara accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 01046718A | IN |
National Provider Identifier
| NPI | 1073515987 |
|---|---|
| Provider Name | Praveen Kollipara |
| First Address | Fort Wayne, IN 46804-4159 |
| Second Address | Fort Wayne, IN 46804-4159 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 06/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000083727 | ANTHEM (01) | IN |
| 000000693537 | ANTHEM (01) | IN |
| 200148280 | (05) | IN |
| 3045547 | (05) | OH |
| F61770 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.