Gondi, Sreedevi
Gondi, Sreedevi is an individual health care provider with primary practice located at 3900 Kresge Way Ste 60 , Louisville KY 40207. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Gondi, Sreedevi can be contacted via phone (502) 893-7710.Contact Information
Primary practice address
3900 Kresge Way Ste 60
Louisville KY 40207
Phone: (502) 893-7710
Fax: (502) 893-1391
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01064375A | Indiana |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 46081 | Kentucky |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01064375A | Indiana |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 46081 | Kentucky |
Profile Details
NPI number | 1811186760 |
---|---|
LBN Legal business name | Gondi, Sreedevi |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2007 |
Last updated | Dec 9th, 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 | 1811186760 | NPPES |
Indiana | MEDICAID | 201215300 | |
Indiana | MEDICAID | 7100252600 |
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