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Gopala R Kolluru

  • Male

Medical Specialty

Professional ID

  • NPI: 1164500682
  • PECOS ID: 6002833308
  • Enrollment ID: I20100625000292
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1973

Hospital Service

  • Hospital CCN1: 050195
  • Business Name (LBN)1: Washington Hospital
  • Hospital CCN2: 050002
  • Business Name (LBN)2: St Rose Hospital
  • Hospital CCN3: 050441
  • Business Name (LBN)3: Stanford Health Care

Location

  • Address1: 2287 Mowry Ave
  • Address2: B
  • City: Fremont
  • State: California
  • Zip Code: 94538
  • Phone Number: (510)797-5057

Location

  • Address1: 2287 Mowry Ave B
  • Address2:
  • City: Fremont
  • State: California
  • Zip Code: 94538
  • Phone Number: (510)797-5057

Location

  • Address1: 27200 Calaroga Ave
  • Address2:
  • City: Hayward
  • State: California
  • Zip Code: 94545
  • Phone Number: (510)264-4000

Medical Practices

  • Organization Name: Washington Township Hospital District
  • Group Practice ID assigned by PECOS: 2860488822
  • Number of Group Practice member: 37

Location

  • Address1: 2000 Mowry Ave
  • Address2:
  • City: Fremont
  • State: California
  • Zip Code: 94538
  • Phone Number: (510)797-1111

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes