Dr. Bollaiah Borra, M.D.
in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1376518464
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1376518464
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bollaiah Borra
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085N0700X | MD037497L | PA | Yes | |
| 2085R0202X | Radiology, Diagnostic Radiology | MD037497L | PA |
Practice location
1000 E Mountain BlvdDept Of Radiology
Wilkes Barre, PA 18711-0027
Phone 570-826-7779 · Fax 570-821-2394
Mailing address
100 N Academy AveDanville, PA 17822-3034
Phone 570-271-6144 · Fax 570-271-6578
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