NPI

Indira Bollampally

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2006-01-20
Last updated
2013-06-13

Specialties

Licenses

License NJ
MA39866

Location

Practice location
1540 Hwy 138, Suite208
City
Wall NJ
Postal code
07719-3763
Phone
(732) 681-9045

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Wall, NJ. 135 records in the public file.

Removal request

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