DR. MANGARAJU KOLLURU M.D.
NPI 1346250800
General Practice in Selma, NC

Q: What is Mangaraju Kolluru's NPI number?

The NPI number for Mangaraju Kolluru is 1346250800. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Mangaraju Kolluru's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mangaraju Kolluru was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2006

1101 RIVER RD, SELMA, NC 27576(919) 965-9655(919) 975-1029 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mangaraju Kolluru M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANGARAJU KOLLURU M.D. (NPI 1346250800) is an individual general practice provider in Selma, North Carolina, licensed in North Carolina (26290) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1346250800

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. MANGARAJU KOLLURUCredential: M.D.

Location Address1101 RIVER RDSelma, NC 27576-3611

Mailing Address1101 River RdSelma, NC 27576-3611 · (919) 965-6550 · Fax (919) 975-1029

Phone(919) 965-9655

Fax(919) 975-1029

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateSeptember 21, 2012

✔ NPI 1346250800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NC · 26290

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPediatricsTaxonomy 208000000X · License 26290 (NC)

1101 RIVER RD, Selma, NC 27576

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Other Identifiers 1

Medicare UPINC82273NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDA CHEWNING NELSON LCAS, LPC, CRC

Counselor (Addiction (Substance Use Disorder))

1101 RIVER RD
SELMA, NC 27576

Johnston County (919) 965-6550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mangaraju Kolluru's NPI number?

The NPI number for Mangaraju Kolluru is 1346250800. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Mangaraju Kolluru located?

Mangaraju Kolluru practices at 1101 River Rd, Selma, NC 27576. The listed phone number is (919) 965-9655.

What is Mangaraju Kolluru's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mangaraju Kolluru was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.