Kothapalli, Srinivasa Rao

Kothapalli, Srinivasa Rao is an individual health care provider with primary practice located at 2501 Jimmy Johnson Boulevard Suite 500, Port Arthur TX 77640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kothapalli, Srinivasa Rao can be contacted via phone (409) 723-6600.

Contact Information

Primary practice address
2501 Jimmy Johnson Boulevard Suite 500 Port Arthur TX 77640
Phone: (409) 723-6600
Fax: (409) 723-6698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X J1286 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J1286 Texas

Profile Details

NPI number 1528036118
LBN Legal business name Kothapalli, Srinivasa Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 31st, 2020 - about 4 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 1528036118 NPPES
Texas Other 22015 GTPA
Texas Other 060042362 GTPA

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