Vijay K Kolli
Infectious Disease
1104e State Highway 152
Mustang
, Oklahoma 73064-5116
Vijay K Kolli
Infectious Disease
1104e State Highway 152
Mustang
, Oklahoma 73064-5116
(405) 716-4808
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Vijay K Kolli
- 1104e State Highway 152
- Mustang, OK
- Zip : 73064-5116
- Fax : (405) 716-4808
- Phone : (855) 541-2862
Second Address
- Vijay K Kolli
- 1104e State Highway 152
- Mustang, OK
- Zip : 73064-5116
- Fax : (405) 376-1831
- Phone : (405) 376-9544
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 28955 | OK |
National Provider Identifier
| NPI | 1013017292 |
|---|---|
| Provider Name | Vijay K Kolli |
| First Address | Mustang, OK 73064-5116 |
| Second Address | Mustang, OK 73064-5116 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 17/08/2015 |
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.