Leela R Bolla MD Medical Associates PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME79879 Issued in FL

Legal business name

LEELA R BOLLA MD MEDICAL ASSOCIATES PA

Practice address

1890 SW Health Pkwy
Suite #100
Naples, FL 34109-0473

Phone

(239) 597-0544

Fax

(239) 597-8644

NPI assigned

Oct 12, 2007

Last updated

Jul 28, 2008By 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. Leela R Bolla, M.D.NPI 1275641326

Title

Owner

Phone

(239) 597-0544

Specialties & licenses 1

Addresses

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.

• Leela R Bolla, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1275641326
  Authorized official Same address or phone

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1487842696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SW HEALTH PKWY",
            "address_2": "SUITE #100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090473",
            "telephone_number": "239-597-0544",
            "fax_number": "239-597-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SW HEALTH PKWY",
            "address_2": "SUITE #100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090473",
            "telephone_number": "239-597-0544",
            "fax_number": "239-597-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELA R BOLLA MD MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "BOLLA",
        "authorized_official_first_name": "LEELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-597-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME79879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Lee
• Julia Sun Lee, MD
• Yong Jae Lee, M.D.
• Jennifer C Leeder, PSYD
• Matthew Leeder
• Cason Lehman, PTA
• Frederick Lehman
• Jason Lehman, MD
• Benjamin Joseph Lehr, MD
• Steven J Leibach, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Naples, FL
• Providers in Naples, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.