Kosaraju, Sivasankara Rao

Kosaraju, Sivasankara Rao is an individual health care provider with primary practice located at 130 S Bryn Mawr Ave Suite H-321, Bryn Mawr PA 19010-3121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kosaraju, Sivasankara Rao can be contacted via phone (610) 526-4097.

Contact Information

Primary practice address
130 S Bryn Mawr Ave Suite H-321 Bryn Mawr PA 19010-3121
Phone: (610) 526-4097
Fax: (610) 526-4082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD426808 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD426808 Pennsylvania

Profile Details

NPI number 1558335919
LBN Legal business name Kosaraju, Sivasankara Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 1st, 2008 - about 16 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 1558335919 NPPES
Pennsylvania Other 232359401 MAIN LINE HEALTHCARE
Pennsylvania MEDICAID 101319122 MAIN LINE HEALTHCARE

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