Devarakonda, Srinivas S.
Devarakonda, Srinivas S. is an individual health care provider with primary practice located at 460 W 10Th Ave , Columbus OH 43210-1240. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Devarakonda, Srinivas S. can be contacted via phone (614) 293-3196.Contact Information
Primary practice address
460 W 10Th Ave
Columbus OH 43210-1240
Phone: (614) 293-3196
Fax: (614) 293-4812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 203402 | Louisiana |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 203402 | Louisiana |
Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 35133922 | Ohio |
Profile Details
NPI number | 1154595049 |
---|---|
LBN Legal business name | Devarakonda, Srinivas S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2008 |
Last updated | Dec 18th, 2020 - about 4 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 | 1154595049 | NPPES |
Ohio | MEDICAID | 0286667 | |
Ohio | Other | 4M546F600 | |
Ohio | MEDICAID | 1807702 |
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