Ayinala, Srinivasa Rao
Ayinala, Srinivasa Rao is an individual health care provider with primary practice located at 301 Philip Blvd Ste A , Lawrenceville GA 30046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ayinala, Srinivasa Rao can be contacted via phone (770) 822-5560.Contact Information
Primary practice address
301 Philip Blvd Ste A
Lawrenceville GA 30046
Phone: (770) 822-5560
Fax: (770) 822-4989
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 052531 | Georgia |
Profile Details
NPI number | 1285624148 |
---|---|
LBN Legal business name | Ayinala, Srinivasa Rao |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2005 |
Last updated | Sep 4th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285624148 | NPPES |
Georgia | MEDICAID | 174126432B |
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