Koduru, Srividya

Koduru, Srividya is an sole proprietor health care provider with primary practice located at 6325 Hospital Pkwy , Johns Creek GA 30097-5775. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Koduru, Srividya can be contacted via phone (678) 474-7038.

Contact Information

Primary practice address
6325 Hospital Pkwy Johns Creek GA 30097-5775
Phone: (678) 474-7038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 073185 Georgia

Profile Details

NPI number 1073804969
LBN Legal business name Koduru, Srividya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2011
Last updated Dec 21st, 2015 - about 9 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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