Pulagam, Srinivas Reddy

Pulagam, Srinivas Reddy is an individual health care provider with primary practice located at 1000 S Columbia Rd , Grand Forks ND 58201-4036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pulagam, Srinivas Reddy can be contacted via phone (701) 780-6000.

Contact Information

Primary practice address
1000 S Columbia Rd Grand Forks ND 58201-4036
Fax: (701) 780-1942
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10277 North Dakota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C129613 California

Profile Details

NPI number 1366516833
LBN Legal business name Pulagam, Srinivas Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 31st, 2023 - about 2 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 1366516833 NPPES
North Dakota MEDICAID 13994

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