Rajasri MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RAJASRI MD PA

Practice address

800 W Arbrook Blvd
Suite 325
Arlington, TX 76015-4327

Phone

(817) 472-9869

NPI assigned

Jan 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Radhika Kolli, MD

Title

Owner

Phone

(682) 219-9010

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1154788115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 BROWN BEAR WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760396061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W ARBROOK BLVD",
            "address_2": "SUITE 325",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154327",
            "telephone_number": "817-472-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJASRI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KOLLI",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-219-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.