Nattam, Sreenivasa R
Nattam, Sreenivasa R is an individual health care provider with primary practice located at 2514 E Dupont Rd Ste 100 , Fort Wayne IN 46825-1619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Nattam, Sreenivasa R can be contacted via phone (260) 484-8830.Contact Information
Primary practice address
2514 E Dupont Rd Ste 100
Fort Wayne IN 46825-1619
Phone: (260) 484-8830
Fax: (260) 483-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01030857A | Indiana |
Profile Details
| NPI number | 1982606893 |
|---|---|
| LBN Legal business name | Nattam, Sreenivasa R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | May 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982606893 | NPPES |
| Indiana | Other | 000000693428 | ANTHEM |
| Indiana | MEDICAID | 100333300 | ANTHEM |
| Indiana | MEDICAID | 3056768 | ANTHEM |
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