Gudivada, Shravana Deepthi

Gudivada, Shravana Deepthi is an individual health care provider with primary practice located at 402 15Th Ave Se Ste 201 , Puyallup WA 98372-3709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Gudivada, Shravana Deepthi can be contacted via phone (253) 697-5250.

Contact Information

Primary practice address
402 15Th Ave Se Ste 201 Puyallup WA 98372-3709
Phone: (253) 697-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125068551 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD61036197 Washington

Profile Details

NPI number 1316398985
LBN Legal business name Gudivada, Shravana Deepthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2016
Last updated Sep 6th, 2023 - about 2 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.

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