Bogachenchu, Sreenivasulu

Bogachenchu, Sreenivasulu is an individual health care provider with primary practice located at 1400 Us Highway 61 , Festus MO 63028-4100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bogachenchu, Sreenivasulu can be contacted via phone (636) 933-5337.

Contact Information

Primary practice address
1400 Us Highway 61 Festus MO 63028-4100
Phone: (636) 933-5337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036125603 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036125603 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2016010622 Missouri

Profile Details

NPI number 1831417070
LBN Legal business name Bogachenchu, Sreenivasulu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated Mar 1st, 2022 - about 3 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 1831417070 NPPES
Illinois MEDICAID TBD

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