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
Phone: (863) 424-8900
Fax: (863) 424-8823
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154313476 | NPPES |
Florida | MEDICAID | 2595853400 |
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