Bommireddipalli, Srinivas S

Bommireddipalli, Srinivas S is an sole proprietor health care provider with primary practice located at 207 Foote Ave Wca Hospital, Jamestown NY 14701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bommireddipalli, Srinivas S can be contacted via phone (301) 618-3754.

Contact Information

Primary practice address
207 Foote Ave Wca Hospital Jamestown NY 14701
Phone: (301) 618-3754
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 272799 New York

Profile Details

NPI number 1659688224
LBN Legal business name Bommireddipalli, Srinivas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2010
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659688224 NPPES
New York Other 272799 LICENSE
New York MEDICAID 03841949 LICENSE

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