Polavarapu, Sreedhar

Polavarapu, Sreedhar is an sole proprietor health care provider with primary practice located at 3216 Nederland Avenue , Nederland TX 77627-7025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Polavarapu, Sreedhar can be contacted via phone (409) 722-7500.

Contact Information

Primary practice address
3216 Nederland Avenue Nederland TX 77627-7025
Phone: (409) 722-7500
Fax: (409) 293-4401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L-9431 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L9431 Texas

Profile Details

NPI number 1427040815
LBN Legal business name Polavarapu, Sreedhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Jan 18th, 2011 - about 14 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 1427040815 NPPES
Texas MEDICAID 178686501

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