Neravetla, Soumya
Neravetla, Soumya is an individual health care provider with primary practice located at 1671 N Limestone St , Springfield OH 45503-2646. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Neravetla, Soumya can be contacted via phone (937) 324-5511.Contact Information
Primary practice address
1671 N Limestone St
Springfield OH 45503-2646
Phone: (937) 324-5511
Fax: (937) 398-0652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 066970 | Georgia |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.129702 | Ohio |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 066970 | Georgia |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35.129702 | Ohio |
Profile Details
NPI number | 1558511865 |
---|---|
LBN Legal business name | Neravetla, Soumya |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2008 |
Last updated | Nov 10th, 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 | 1558511865 | NPPES |
Ohio | MEDICAID | 0189204 | |
Ohio | Other | 12455059 |
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