Marri, Siva Rama Krishna
Marri, Siva Rama Krishna is an individual health care provider with primary practice located at 1698 E Mcandrews Rd Ste 400 , Medford OR 97504-5590. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Marri, Siva Rama Krishna can be contacted via phone (541) 732-7960.Contact Information
Primary practice address
1698 E Mcandrews Rd Ste 400
Medford OR 97504-5590
Phone: (541) 732-7960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TRN14672 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD180848 | Oregon |
Profile Details
| NPI number | 1366755126 |
|---|---|
| LBN Legal business name | Marri, Siva Rama Krishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2010 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366755126 | NPPES |
| Oregon | MEDICAID | 500721239 |
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