Devathi, Sreedhar
Devathi, Sreedhar is an sole proprietor health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Devathi, Sreedhar can be contacted via phone (218) 786-8364.Contact Information
Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic
Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 57723 | Minnesota |
Profile Details
| NPI number | 1528208642 |
|---|---|
| LBN Legal business name | Devathi, Sreedhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2009 |
| Last updated | May 6th, 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 | 1528208642 | NPPES |
| Minnesota | MEDICAID | 1528208642 |
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