DR. SANGEETH LAKSHMI KOLLURI (NPI# 1790096543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790096543 |
Entity Type | Individual |
Full Name | DR. SANGEETH LAKSHMI KOLLURI |
Credential | D.O. |
Practice Address |
900 E 30th St Ste 100 Austin TX 78705-3378 |
Mailing Address |
9715 Burnet Rd Bldg 7. Ste 200 Austin TX 78758-5215 |
Practice Telephone | 5125055500 |
Practice Fax Number | 5123342883 |
Mailing Telephone | 5125055500 |
Mailing Fax Number | 5123342628 |
Enumeration Date | 2010-06-27 |
Last Update Date | 2020-07-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Q5682 | TX | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 360601401 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1180 Seton Pkwy Ste 150, Kyle, TX 786406319 | 5125055500 | 5123342883 |
Street Address |
900 E 30TH ST STE 100 |
City | AUSTIN |
State | TX |
Zip Code | 78705-3378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063426971 | Ali K Choucair | Psychiatry & Neurology | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2006-07-28 |
1710590427 | David Jacob Espinoza | Nurse Practitioner | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2020-08-24 |
1164089900 | Sarah Ortiz Howard | Nurse Practitioner | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2019-05-28 |
1396273058 | Carla Mcgruder | Genetic Counselor, MS | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2017-05-25 |
1861803017 | Aneesha Hossain | Internal Medicine | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2014-05-09 |
1447414776 | Adham Jurdi | Internal Medicine | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2008-07-16 |
1316109648 | Kassondra Suzanne Grzankowski | Obstetrics & Gynecology | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2008-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
Find all providers in zip 78705 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326019571 | Kimberly M Brown | Surgery | 6204 Balcones Dr, Austin, TX 78731-4214 | 2006-01-27 |
1114189933 | Shaun Patrick Mckenzie | Surgery | 4101 James Casey St Ste 100, Austin, TX 78745-1145 | 2008-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134662125 | Lakhbir Sandhu | Surgery | 1400 Pressler Suite, Unit 1484, Houston, TX 77030 | 2016-11-23 |
1104191667 | John C. O'brien, Jr., Md, Pa | Surgery | 8223 Forest Hills Blvd, Dallas, TX 75218-4410 | 2012-03-16 |
1245462852 | Ali Abdalla Maawy | Surgery | 6133 Parkway Dr, Corpus Christi, TX 78414 | 2009-08-14 |
1720235427 | William Francis Mcnamara | Surgery | 7777 Forest Ln Ste C585, Dallas, TX 75230-6871 | 2008-08-25 |
1336343235 | Loren L Rourke | Surgery | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2007-06-13 |
1942309075 | Steven A. Curley | Surgery | 910 E Houston St Ste 270, Tyler, TX 75702-8367 | 2006-09-22 |
1649387713 | Morton S Kahlenberg | Surgery | 8711 Village Dr Ste 325, San Antonio, TX 78217-5403 | 2006-08-24 |
1124131628 | East Houston Surgical Associates | Surgery | 4140 Southwest Freeway #425, Houston, TX 77027 | 2006-08-17 |
1457392839 | Bay Area Cancer Surgery, P.a. | Surgery | 4021 Garth Rd, #105, Baytown, TX 77521-3160 | 2006-06-09 |
1174513527 | Thomas Eugene Le Voyer | Surgery | 4001 W 15th Street Ste 425, Plano, TX 75093-5841 | 2005-10-26 |
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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.