Jolepalem, Srinivas-Prasad Reddy
Jolepalem, Srinivas-Prasad Reddy is an sole proprietor health care provider with primary practice located at 8721 Carriage Green Dr , Darien IL 60561-8468. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jolepalem, Srinivas-Prasad Reddy can be contacted via phone (630) 888-4815.Contact Information
Primary practice address
8721 Carriage Green Dr
Darien IL 60561-8468
Phone: (630) 888-4815
Fax: (630) 910-4020
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32848 | Wisconsin |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01064406A | Indiana |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 01064406A | Indiana |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 32848 | Wisconsin |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 036084786 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036084786 | Illinois |
Profile Details
NPI number | 1568531564 |
---|---|
LBN Legal business name | Jolepalem, Srinivas-Prasad Reddy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 6th, 2006 |
Last updated | Jan 22nd, 2014 - about 10 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 | 1568531564 | NPPES |
Illinois | Other | IL8846 | MEDICARE PTAN# |
Illinois | Other | IL8846001 | MEDICARE PTAN# |
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