DR. SRIDHAR REDDY BOLLA


Address: 8244 E Us Highway 36 Ste 1340, Avon, IN 46123-9688
Phone: 3175205510

DR. SRIDHAR REDDY BOLLA (NPI# 1316994148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316994148
Entity Type Individual
Full Name DR. SRIDHAR REDDY BOLLA
Credential M.D.
Practice Address 8244 E Us Highway 36 Ste 1340
Avon
IN 46123-9688
Practice Telephone 3175205510
Practice Fax Number 3173865539
Mailing Telephone 3175205510
Mailing Fax Number 3173865539
Enumeration Date 2006-05-27
Last Update Date 2020-09-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
01059289A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000380791 01
IN 200336270 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6820 Parkdale Pl, Suite 200, Indianapolis, IN 462546601 3173297430 3173297485

Office Location

Street Address 8244 E US HIGHWAY 36 STE 1340
City AVON
State IN
Zip Code 46123-9688

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285243618 Hendricks County Hospital Internal Medicine 8244 E Us Highway 36 Ste 1340, Avon, IN 46123-9688 2020-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669018669 Dienye Williams Pharmacist 108 North Sr 267, Avon, IN 46123 2019-11-25
1992353817 Debra Blackwell Technician 8198 Montage Ave, Apt 104, Avon, IN 46123 2019-09-04
1932675766 Blake Ponist Occupational Therapist 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 2018-10-19
1396238150 Sarah Sweany Dietitian, Registered Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 2018-06-07
1124516257 Sheree Itza Counselor 6655 E Us Highway 36 Ste 100, Avon, IN 46123 2018-04-24
1255860607 Jonathan Lambert Dentist 110 N Avon Ave B, Avon, IN 46123 2017-06-08
1023546629 10439 E Us Highway 36 Dental, LLC Dentist 10439 E Us Highway 36, Avon, IN 46123 2017-05-25
1902330756 Melissa Wheatley Occupational Therapy Assistant 6294 Forest View Court, Avon, IN 46123 2017-04-19
1932555844 Gal Marcan Family Medicine 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 2016-05-10
1962871301 Annette Joelene Oechsle Health Educator 1820 South County Road 525 East, Avon, IN 46123 2015-09-16
Find all providers in zip 46123

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851496061 Patricia Defusco Internal Medicine 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001 2006-09-13
1285243618 Hendricks County Hospital Internal Medicine 8244 E Us Highway 36 Ste 1340, Avon, IN 46123-9688 2020-07-31
1033405931 Larisa Schwartzman Internal Medicine 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 2011-06-20
1588847156 Adriana Lorena Alvarez Internal Medicine 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 2007-12-06
1679677702 American Health Network of Indiana, LLC Internal Medicine 1111 Ronald Reagan Pkwy, Suite 1600, Avon, IN 46123-7085 2006-09-11
1467460998 American Health Network of Indiana, LLC Internal Medicine 5250 East Us 36, Suite 655, Avon, IN 46123 2006-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134728553 Infusion Center of Indiana LLC Internal Medicine 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 2020-10-19
1659987832 Vida Oncology LLC Internal Medicine 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 2020-09-22
1306256839 Anne Catherine Meier Internal Medicine 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 2014-05-06
1033451083 Richard Brian Gaynor Internal Medicine Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 2013-03-17
1851697536 Melhem Jabbour Internal Medicine 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 2011-01-28
1760798326 Redmond Prindiville Hogan IIi Internal Medicine 2808 W 44th St, Indianapolis, IN 46228-3147 2010-08-20
1720392798 Mohammad Issam Abu Zaid Internal Medicine 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 2010-08-02
1710112396 Cancer Health Treatment Centers,p.c. Internal Medicine 104 Woodland Ct, Michigan City, IN 46360-7390 2009-05-26
1497998520 Ashwin Kolala Vasudevamurthy Internal Medicine 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 2009-04-20
1386805307 Vivian C Cook Internal Medicine 3699 Epworth Road, Newburgh, IN 47630-8909 2008-06-23
Find all providers with the same taxonomy

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City AVON
Zip Code 46123

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Dataset Information

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.

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