Kodali, Srinivasa Rao

Kodali, Srinivasa Rao is an sole proprietor health care provider with primary practice located at 17940 Farmington Road Suite 230, Livonia MI 48152-3194. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kodali, Srinivasa Rao can be contacted via phone (734) 422-4748.

Contact Information

Primary practice address
17940 Farmington Road Suite 230 Livonia MI 48152-3194
Phone: (734) 422-4748
Fax: (734) 422-5076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301049890 Michigan
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 4301049890 Michigan
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 4301049890 Michigan

Profile Details

NPI number 1255372058
LBN Legal business name Kodali, Srinivasa Rao
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Nov 4th, 2015 - 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.

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