Kosanam, Srinath Reddy

Kosanam, Srinath Reddy is an sole proprietor health care provider with primary practice located at 106 Polo Park East Blvd , Davenport FL 33897-9407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kosanam, Srinath Reddy can be contacted via phone (863) 424-8900.

Contact Information

Primary practice address
106 Polo Park East Blvd Davenport FL 33897-9407
Fax: (863) 424-8823
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME78339 Florida

Profile Details

NPI number 1154313476
LBN Legal business name Kosanam, Srinath Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Oct 20th, 2010 - about 14 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 1154313476 NPPES
Florida MEDICAID 2595853400

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