Pavan Bolla, MD
Pavan Bolla, MD is an Internal Medicine in Utica, New York. Qualified in 2013, 13 years ago. Licensed in New York.
- Years since qualifying
- 13
- Licensed in
- NY
- In the registry since
- 2025
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Utica, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|
Record details
| NPI number | 1790670834 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 10, 2025 |
| Last updated in NPPES | April 9, 2026 |
| Certification date | April 9, 2026 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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