Provider Demographics
NPI:1972545341
Name:JALADI, UMA KOLLI (MD)
Entity type:Individual
Prefix:DR
First Name:UMA
Middle Name:KOLLI
Last Name:JALADI
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:UMA
Other - Middle Name:
Other - Last Name:KOLLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:387 QUARRY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1025
Mailing Address - Country:US
Mailing Address - Phone:508-679-8111
Mailing Address - Fax:508-673-0943
Practice Address - Street 1:387 QUARRY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1025
Practice Address - Country:US
Practice Address - Phone:508-679-8111
Practice Address - Fax:508-673-0943
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226791207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110095166AMedicaid
RIUK94105Medicaid
MAS400107143Medicare PIN