Pavan Kolluri, MD
Pavan Kolluri, MD is an Emergency Medicine in South Windsor, Connecticut. Graduated from University of Missouri, Kansas City, School of Medicine in 1998, 28 years ago. Practices with West Fairview Emergency Physicians LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 28
- Trained at
- University of Missouri, Kansas City, School of Medicine
- Licensed in
- KY
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
204 Talcott Ridge RdSouth Windsor, CT 06074-2394
Phone: (860) 648-4032
Fax: (260) 407-8004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 36831 (KY) |
|---|
Record details
| NPI number | 1477586428 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 9, 2006 |
| Last updated in NPPES | October 15, 2008 |
| Mailing address | 204 Talcott Ridge Rd, South Windsor, CT 06074-2394 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduated | 1998 (28 years in practice) |
| Group practice | West Fairview Emergency Physicians Llc — 40 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |