Dega, Sreevalli

Dega, Sreevalli is an individual health care provider with primary practice located at 1570 Brampton Ave , Statesboro GA 30458-0855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dega, Sreevalli can be contacted via phone (912) 764-9196.

Contact Information

Primary practice address
1570 Brampton Ave Statesboro GA 30458-0855
Phone: (912) 764-9196
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39798 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 71063 Georgia

Profile Details

NPI number 1023247731
LBN Legal business name Dega, Sreevalli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Feb 26th, 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 1023247731 NPPES
Iowa MEDICAID 0230169
Iowa Other 202I086718
Iowa MEDICAID 003140454A

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