Provider Demographics
NPI:1750619565
Name:KOLLI, RAJYALAKSHMI (MD)
Entity type:Individual
Prefix:DR
First Name:RAJYALAKSHMI
Middle Name:
Last Name:KOLLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5046
Mailing Address - Country:US
Mailing Address - Phone:352-835-7155
Mailing Address - Fax:352-835-7199
Practice Address - Street 1:10500 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5046
Practice Address - Country:US
Practice Address - Phone:352-835-7155
Practice Address - Fax:352-835-7199
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106816207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine