Ram Kolluru,M.D.PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

RAM KOLLURU,M.D.PA

Doing business as

Permian Heart Clinic

Practice address

420 E 6TH St
Ste 102
Odessa, TX 79761-4529

Phone

(432) 685-3333

Fax

(432) 570-5440

NPI assigned

Dec 11, 2006

Last updated

Oct 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ramachandra Rao Kolluru, M.D.NPI 1528065893

Title

President

Phone

(432) 685-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PERMIAN HEART CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramachandra Kolluru, MD

  • Cardiovascular Disease Physician
  • Odessa, TX
  • NPI 1528065893
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1285794289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SANTA MARIA CT",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658515",
            "telephone_number": "432-685-3333",
            "fax_number": "432-570-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 6TH ST",
            "address_2": "STE 102",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614529",
            "telephone_number": "432-685-3333",
            "fax_number": "432-570-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM KOLLURU,M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "KOLLURU",
        "authorized_official_first_name": "RAMACHANDRA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-685-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109508502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERMIAN HEART CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abdur Raheem, MD
• Sabeena Urooj Rahman, D.O.
• Raja Naidu MD PA
• Pill G Raja, M.D.
• Rajesh J Patel, M.D., P.a.
• Chittur Viswanathan Ramanathan, M.D.
• Chrissorne Rameau, DDS
• Avinesh Ramesh, MB BCH BAO
• Ramirez Dietitian Services LLC
• Adrian Ramirez Jr., FNP

• Cardiovascular Disease Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.