Bramhadevi, Srinivas R

Bramhadevi, Srinivas R is an individual health care provider with primary practice located at 1497 Lafayette Street , Lagrange GA 30241-2552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bramhadevi, Srinivas R can be contacted via phone (706) 880-7335.

Contact Information

Primary practice address
1497 Lafayette Street Lagrange GA 30241-2552
Phone: (706) 880-7335
Fax: (706) 812-2403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45129 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 61946 Georgia

Profile Details

NPI number 1750338968
LBN Legal business name Bramhadevi, Srinivas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 3rd, 2019 - about 5 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 1750338968 NPPES
Georgia MEDICAID 720484389A
Georgia MEDICAID 34342600
Georgia MEDICAID 720484389
Georgia Other P00972282

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