Boddupalli, Sai-Sridhar

Boddupalli, Sai-Sridhar is an individual health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013-4409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Boddupalli, Sai-Sridhar can be contacted via phone (602) 406-5590.

Contact Information

Primary practice address
350 W Thomas Rd Phoenix AZ 85013-4409
Fax: (602) 406-7170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 42907 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42907 Arizona

Profile Details

NPI number 1326220518
LBN Legal business name Boddupalli, Sai-Sridhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Jul 15th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326220518 NPPES
Arizona MEDICAID 530584

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