DR. HARI K. KOLLI (NPI# 1013150051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013150051 |
| Entity Type | Individual |
| Full Name | DR. HARI K. KOLLI |
| Credential | M.B.B.S. (M.D.) |
| Practice Address |
2617 Mitcham Dr Ste 102 Tallahassee FL 32308-5479 |
| Practice Telephone | 8508781171 |
| Practice Fax Number | 8509421291 |
| Mailing Telephone | 8508781171 |
| Mailing Fax Number | 8509421291 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME106241 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002627600 | 05 | |
| FL | 060754100 | 05 |
| Street Address |
2617 MITCHAM DR STE 102 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089071 | North Florida Nephrology Associates | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2005-08-09 |
| 1245747385 | Mary Elizabeth Van Vliet | Nurse Practitioner | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2018-01-10 |
| 1427430586 | Cassie Deese Corbin | Nurse Practitioner | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2015-06-25 |
| 1457731663 | Shobha Rebala | Nurse Practitioner | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2015-06-02 |
| 1518252881 | Sayeed Khalillullah | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2011-06-15 |
| 1194984393 | Kaushal P Patel | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2008-06-03 |
| 1093717654 | Harold Avon Doll Jr. | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342554 | Clarence William Applegate | Internal Medicine | 1609 Physicians Dr, Tallahassee, FL 32308-4620 | 2005-08-10 |
| 1720089071 | North Florida Nephrology Associates | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2005-08-09 |
| 1801248356 | Capital Nephrology Clinic, P.a. | Internal Medicine | 1845 Jaclif Ct, Tallahassee, FL 32308 | 2016-07-08 |
| 1518252881 | Sayeed Khalillullah | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2011-06-15 |
| 1194984393 | Kaushal P Patel | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2008-06-03 |
| 1093717654 | Harold Avon Doll Jr. | Internal Medicine | 2617 Mitcham Dr Ste 102, Tallahassee, FL 32308-5479 | 2005-08-12 |
| 1073515631 | Gary Paul Hansen | Internal Medicine | 1609 Physicians Dr, Tallahassee, FL 32308-4620 | 2005-08-12 |
| 1063413276 | Cynthia Lou Gaboury | Internal Medicine | 1609 Physicians Dr, Tallahassee, FL 32308-4620 | 2005-08-10 |
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|---|---|---|---|---|
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| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.