Komarneni, Sreedevi
Komarneni, Sreedevi is an individual health care provider with primary practice located at 2214 N Atherton St Suite 5, State College PA 16803-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Komarneni, Sreedevi can be contacted via phone (814) 237-0567.Contact Information
Primary practice address
2214 N Atherton St Suite 5
State College PA 16803-1544
Phone: (814) 237-0567
Fax: (814) 237-0569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD031425E | Pennsylvania |
Profile Details
| NPI number | 1134141211 |
|---|---|
| LBN Legal business name | Komarneni, Sreedevi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Apr 21st, 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 | 1134141211 | NPPES |
| Pennsylvania | Other | 229631NKA | PTAN |
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