Bokkisam, Srinivasa C

Bokkisam, Srinivasa C is an individual health care provider with primary practice located at 7101 Jahnke Rd Suite 611, Richmond VA 23225-4017. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bokkisam, Srinivasa C can be contacted via phone (804) 327-4046.

Contact Information

Primary practice address
7101 Jahnke Rd Suite 611 Richmond VA 23225-4017
Phone: (804) 327-4046
Fax: (804) 327-4047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101239848 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101239848 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101239848 Virginia

Profile Details

NPI number 1336158096
LBN Legal business name Bokkisam, Srinivasa C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 27th, 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 1336158096 NPPES
Virginia Other P00380695 RAILROAD MEDICARE
Virginia MEDICAID 010318891 RAILROAD MEDICARE

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