Jenigiri, Sreedevi Koppisetti

Jenigiri, Sreedevi Koppisetti is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Jenigiri, Sreedevi Koppisetti can be contacted via phone (319) 356-8133.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Fax: (319) 356-3949
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-41915 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.205697 Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD-41915 Iowa

Profile Details

NPI number 1598930257
LBN Legal business name Jenigiri, Sreedevi Koppisetti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Feb 21st, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598930257 NPPES
Mississippi MEDICAID 00303879
Mississippi MEDICAID 2324098

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