Marella, Srimannarayana
Marella, Srimannarayana is an individual health care provider with primary practice located at 6616 Center Grove Rd. , Edwardsville IL 62025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marella, Srimannarayana can be contacted via phone (618) 659-1599.Contact Information
Primary practice address
6616 Center Grove Rd.
Edwardsville IL 62025
Phone: (618) 659-1599
Fax: (618) 659-1597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2013018498 | Missouri |
Profile Details
| NPI number | 1861745218 |
|---|---|
| LBN Legal business name | Marella, Srimannarayana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2012 |
| Last updated | Oct 22nd, 2020 - about 5 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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