Dr. Glenn Immanuel Kolluri

ME87511 | Neurology | 28+ years Exp


  200 Se Hospital Ave, Stuart
     Florida, 34994-2346
  772-223-5618    772-223-5646 Maps & Directions
Dr. Glenn Immanuel Kolluri is a Stuart, Florida based neurologist with 28 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: 28+ 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 NumberSpecializationStateStatus
ME87511Neurology FloridaPrimary
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, FLAcute Care Hospital
(100045)Deland, FLAcute Care Hospital
(100068)Daytona beach, FLAcute 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.
IdentifierTypeStateIssuer
2674904-00MedicaidFlorida
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.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.