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Samrajyam Kolluru, MD
Specialist in Odessa, Texas
NPI 1770580631

Samrajyam Kolluru is a Specialist based in Odessa, TX. Samrajyam Kolluru practices in Odessa, TX and has the professional credentials of MD. The NPI Number for Samrajyam Kolluru is 1770580631 and holds a License No. H9663 (Texas).

The current practice location address for Samrajyam Kolluru is 621 N Washington Ave, Odessa, TX and can be reached out via phone at 432-580-9999 and via fax at 432-580-5051.

Location: 621 N Washington Ave, Odessa, TX, 79765-8515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770580631
Provider Name
Samrajyam Kolluru
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
621 N Washington Ave, Odessa, TX, 79765-8515
Phone Number
432-580-9999
Fax Number
432-580-5051
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
621 N Washington Ave
City
Odessa
State
Texas
Zip
79761-4436
Phone Number
432-580-9999
Fax Number
432-580-5051
person
Provider Business Mailing Address Details
Address
621 N Washington Ave
City
Odessa
State
Texas
Zip
79761-4436
Phone Number
432-580-9999
Fax Number
432-580-5051
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H9663 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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