Kallakuri, Sreedhar
Kallakuri, Sreedhar is an individual health care provider with primary practice located at 2601 Ocean Pkwy , Brooklyn NY 11235-7745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kallakuri, Sreedhar can be contacted via phone (718) 616-4408.Contact Information
Primary practice address
2601 Ocean Pkwy
Brooklyn NY 11235-7745
Phone: (718) 616-4408
Fax: (718) 616-4105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 217542-1 | New York |
Profile Details
| NPI number | 1285645028 |
|---|---|
| LBN Legal business name | Kallakuri, Sreedhar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285645028 | NPPES |
| New York | MEDICAID | 02111008 |
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