Dr. Glenn Immanuel Kolluri
ME87511 | Neurology | 29+ years Exp
200 Se Hospital Ave, Stuart
Florida, 34994-2346
772-223-5618 772-223-5646
Maps & DirectionsDr. Glenn Immanuel Kolluri is a Stuart, Florida based neurologist with 29 years of experience in Neurology. He completed his graduation from Loma Linda University School Of Medicine in 1996. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Glenn Immanuel Kolluri is ME87511 for Neurology in Florida. His current practice location is 200 Se Hospital Ave, Stuart. Patients can reach him at 772-223-5618 or can fax him at 772-223-5646. Dr. Glenn Immanuel Kolluri is ME87511 in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1780622480.
Dr. Glenn Immanuel Kolluri specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Glenn Immanuel Kolluri speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Glenn Immanuel Kolluri |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | ME87511 |
| Experience: | 29+ years |
| Medical School Attended: | Loma Linda University School Of Medicine |
| Graduation Year: | 1996 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 200 Se Hospital Ave, Stuart,
Florida, 34994-2346 |
| Phone: | 772-223-5618 |
| Fax: | 772-223-5646 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8426143348 |
| Enrollment ID: | I20071005000708 |
| NPI Number: | 1780622480 |
| NPI Enumeration Date: | 03 Jun, 2006 |
| NPI Last Update On: | 28 Sep, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glenn Immanuel Kolluri are as mentioned below.
| License Number | Specialization | State | Status | |
| ME87511 | Neurology | Florida | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (100118) | Palm coast, FL | Acute Care Hospital |
| (100045) | Deland, FL | Acute Care Hospital |
| (100068) | Daytona beach, FL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Glenn Immanuel Kolluri is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Florida Hospital Healthcare Partners, Inc (7012266836) | 215 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Glenn Immanuel Kolluri such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2674904-00 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Glenn Immanuel Kolluri
Po Box 417,
Stuart, Florida |
| Zip: | 34995-0417 |
| Phone Number: | 772-223-5665 |
| Fax Number: | 772-223-5646 |
Patients can reach Dr. Glenn Immanuel Kolluri at
200 Se Hospital Ave, Stuart, Florida or can
call to book an appointment on 772-223-5618.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.