Kanuri, Sridevi
Kanuri, Sridevi is an individual health care provider with primary practice located at 620 W Edison Rd Ste 110, Mishawaka IN 46545-2784. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Kanuri, Sridevi can be contacted via phone (574) 258-1100.Contact Information
Primary practice address
620 W Edison Rd Ste 110
Mishawaka IN 46545-2784
Phone: (574) 258-1100
Fax: (574) 258-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036123242 | Illinois |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 01069685A | Indiana |
Profile Details
| NPI number | 1740506229 |
|---|---|
| LBN Legal business name | Kanuri, Sridevi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | Aug 24th, 2016 - about 8 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 | 1740506229 | NPPES |
| Indiana | MEDICAID | 201021510 |
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