Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samrajyam Kolluru, MD

Individual provider Specialist · NPI 1770580631

Samrajyam Kolluru, MD is a Specialist in Odessa, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 N Washington Ave
Odessa, TX 79761-4436
Phone: (432) 580-9999
Fax: (432) 580-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence H9663 (TX)

Record details

NPI number1770580631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2005
Last updated in NPPESJuly 8, 2007

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