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
Phone: (319) 356-8133
Fax: (319) 356-3949
Website:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598930257 | NPPES |
Mississippi | MEDICAID | 00303879 | |
Mississippi | MEDICAID | 2324098 |
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