Kolli, Sri Devi

Kolli, Sri Devi is an individual health care provider with primary practice located at 1011 Bowles Ave Ste 450, Fenton MO 63026-2395. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kolli, Sri Devi can be contacted via phone (314) 467-1500.

Contact Information

Primary practice address
1011 Bowles Ave Ste 450 Fenton MO 63026-2395
Phone: (314) 467-1500
Fax: (314) 467-1515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 109530 Missouri

Profile Details

NPI number 1558308361
LBN Legal business name Kolli, Sri Devi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 14th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558308361 NPPES
Missouri MEDICAID 208626804
Missouri Other P00074510
Missouri Other 100568

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