Reddivari, Sreelakshmi

Reddivari, Sreelakshmi is an individual health care provider with primary practice located at 263 Farmington Ave General Surgery, Farmington CT 06030-6227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Reddivari, Sreelakshmi can be contacted via phone (860) 679-8080.

Contact Information

Primary practice address
263 Farmington Ave General Surgery Farmington CT 06030-6227
Phone: (860) 679-8080
Fax: (860) 679-1420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002736 Connecticut

Profile Details

NPI number 1093075038
LBN Legal business name Reddivari, Sreelakshmi
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated Jul 11th, 2022 - 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 1093075038 NPPES
Connecticut MEDICAID 1093075038

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