Chebrolu, Srivasa B
Chebrolu, Srivasa B is an individual health care provider with primary practice located at 4401 Coit Rd Suite 303, Frisco TX 75035-0500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chebrolu, Srivasa B can be contacted via phone (469) 574-0464.Contact Information
Primary practice address
4401 Coit Rd Suite 303
Frisco TX 75035-0500
Phone: (469) 574-0464
Fax: (469) 574-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M1050 | Texas |
Profile Details
| NPI number | 1124019450 |
|---|---|
| LBN Legal business name | Chebrolu, Srivasa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Dec 17th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124019450 | NPPES |
| Other | P00239743 | RR MEDICARE | |
| MEDICAID | 173507801 | RR MEDICARE |
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