Edara, Srinivasa
Edara, Srinivasa is an individual health care provider with primary practice located at 111 Amsterdam Ave , New York NY 10023-7410. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Edara, Srinivasa can be contacted via phone (212) 523-2211.Contact Information
Primary practice address
111 Amsterdam Ave
New York NY 10023-7410
Phone: (212) 523-2211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 214817 | New York |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 214817 | New York |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 214817 | New York |
Profile Details
| NPI number | 1629068218 |
|---|---|
| LBN Legal business name | Edara, Srinivasa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Apr 11th, 2023 - about last year |
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 | 1629068218 | NPPES |
| New York | MEDICAID | 02207954 |
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