VIDYA SAGAR KOLLU (NPI# 1003048687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003048687 |
| Entity Type | Individual |
| Full Name | VIDYA SAGAR KOLLU |
| Credential | MD |
| Practice Address |
G3230 Beecher Rd Suite 2 Flint MI 48532-3604 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 8103425800 |
| Practice Fax Number | 8103425810 |
| Mailing Telephone | 8103422000 |
| Mailing Fax Number | 8103422000 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301093977 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346671 | Vidya Kollu | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-02-19 |
| Street Address |
G3230 BEECHER RD SUITE 2 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679555650 | Erin Elizabeth Foster | Psychologist | G3230 Beecher Rd, Flint, MI 48532-3615 | 2005-11-16 |
| 1124554159 | Lucetry Dalton | Psychologist | G3230 Beecher Rd, Flint, MI 48532-3604 | 2017-05-11 |
| 1699225607 | Shena Johnson | Student in an Organized Health Care Education/Training Program | G3230 Beecher Rd, Flint, MI 48532-3604 | 2016-10-13 |
| 1215384177 | Jennifer Carty Mcintosh | Psychologist | G3230 Beecher Rd, Flint, MI 48532 | 2016-05-20 |
| 1215311360 | Navneet Randhawa | Family Medicine | G3230 Beecher Rd, Flint, MI 48532-3604 | 2015-07-17 |
| 1780067660 | Magdalene Gyuricska | Family Medicine | G3230 Beecher Rd, Flint, MI 48532-3604 | 2015-07-09 |
| 1184007072 | Siddharth Vannemreddy | Family Medicine | G3230 Beecher Rd, Flint, MI 48532-3604 | 2015-07-09 |
| 1932515657 | Aaren Grigg | Family Medicine | G3230 Beecher Rd, Suite 1, Flint, MI 48532-3604 | 2014-07-02 |
| 1740695998 | Bharath Jakka | Internal Medicine | G3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 | 2014-06-26 |
| 1912312182 | Shikha Mishra | Internal Medicine | G3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1952923575 | Onlinecarecom LLC | Internal Medicine | 4225 Miller Rd Ste 338, Flint, MI 48507-1257 | 2020-05-18 |
| 1063907020 | Shima Sidahmed | Internal Medicine | 1 Hurley Plz Ste 212, Flint, MI 48503-5902 | 2018-06-22 |
| 1114276474 | Orimisan Samuel Adekolujo | Internal Medicine | G-3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 | 2012-09-02 |
| 1669729042 | Praveen Bheemanathini | Internal Medicine | 1 Hurley Plz # 3w, Flint, MI 48503-5902 | 2012-08-05 |
| 1982927018 | Internal Medicine Associates of Miller Rd | Internal Medicine | 5097 Miller Rd, Flint, MI 48507-1066 | 2010-03-03 |
| 1477784379 | Narendra Babu Veerapaneni | Internal Medicine | 801 Tuuri Pl Apt 106, Flint, MI 48503-2440 | 2009-07-27 |
| 1255569901 | Ramesh Chandra Yarlagadda | Internal Medicine | G3200 Beecher Rd, Suite 2, Flint, MI 48532-3651 | 2009-07-01 |
| 1942481643 | Mustafa H Mahmoud Hassan | Internal Medicine | 1335 S Linden Rd Ste A, Flint, MI 48532-3420 | 2007-11-21 |
| 1487845871 | Anusoumya Ganapathy | Internal Medicine | 3499 S Linden Rd #g, Suite 2, Flint, MI 48507 | 2007-08-09 |
| 1396935797 | Nada Abdelazim Abdelbasit | Internal Medicine | 5037 Corunna Rd, Flint, MI 48532 | 2007-07-31 |
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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.