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NPI Code Detail

MEDICARE: DR. KOLLIPARA RAJSHEKER M.D.

MEDICARE: DR. KOLLIPARA RAJSHEKER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician35045067OH
2207L00000XAnesthesiology Physician35045067OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050081069OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578561775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KOLLIPARA RAJSHEKER M.D.
Provider Business Mailing Address
First Line : PO BOX 932759
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0015
Country : US
Telephone Number : 866-282-7905
Fax Number : 800-731-0751
Provider Business Practice Location Address
First Line : 835 SWEITZER ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1007
Country : US
Telephone Number : 937-547-5723
Fax Number : 937-547-5784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 08/19/2019

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Directions to “ DR. KOLLIPARA RAJSHEKER M.D.” Practice Location

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