Chirumamilla, Sree

Chirumamilla, Sree is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 1400, Hawthorne NY 10532-2144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Chirumamilla, Sree can be contacted via phone (914) 493-7513.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 1400 Hawthorne NY 10532-2144
Phone: (914) 493-7513
Fax: (914) 493-1281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X R5100 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 256469 New York

Profile Details

NPI number 1720088768
LBN Legal business name Chirumamilla, Sree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 27th, 2021 - 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 1720088768 NPPES
New York MEDICAID 02717802

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