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SAMRAJYAM KOLLURU MD
NPI 1770580631
Specialist in Odessa, TX

Active since July 06, 2005
621 N WASHINGTON AVE, ODESSA, TX 79761(432) 580-9999(432) 580-5051 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samrajyam Kolluru Md NPPES

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

SAMRAJYAM KOLLURU MD (NPI 1770580631) is an individual specialist in Odessa, Texas, licensed in Texas (H9663) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1770580631
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSAMRAJYAM KOLLURUCredential: MD
Location Address621 N WASHINGTON AVEOdessa, TX 79761-4436
Mailing Address5 Santa Maria CtOdessa, TX 79765-8515 · (432) 272-5852
Phone(432) 580-9999
Fax(432) 580-5051
Sole ProprietorNo
Enumeration DateJuly 6, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770580631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · H9663
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
621 N WASHINGTON AVE, Odessa, TX 79761
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Other Identifiers 2

Medicare ID-Type Unspecified80W061TX
Medicare UPINE78234TX

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 Samrajyam Kolluru's NPI number?

The NPI number for Samrajyam Kolluru is 1770580631. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Samrajyam Kolluru located?

Samrajyam Kolluru practices at 621 N Washington Ave, Odessa, TX 79761. The listed phone number is (432) 580-9999.

What is Samrajyam Kolluru's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Samrajyam Kolluru was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.