Gangineni, Srinivas K.
Gangineni, Srinivas K. is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gangineni, Srinivas K. can be contacted via phone (605) 755-1000.Contact Information
Primary practice address
353 Fairmont Blvd
Rapid City SD 57701-7375
Phone: (605) 755-1000
Fax: (605) 755-8826
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50659 | Wisconsin |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 52222 | Minnesota |
Profile Details
NPI number | 1881865392 |
---|---|
LBN Legal business name | Gangineni, Srinivas K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 13th, 2008 |
Last updated | Jul 21st, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881865392 | NPPES |
Minnesota | MEDICAID | ENROLLED | |
Minnesota | MEDICAID | 6006780 | |
Minnesota | MEDICAID | ENROLLED |
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