Samudrala, Srinath

Samudrala, Srinath is an sole proprietor health care provider with primary practice located at 160 E Artesia St Ste 220 , Pomona CA 91767-2921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Samudrala, Srinath can be contacted via phone (909) 865-1020.

Contact Information

Primary practice address
160 E Artesia St Ste 220 Pomona CA 91767-2921
Phone: (909) 865-1020
Fax: (909) 865-1202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G83088 California

Profile Details

NPI number 1558302943
LBN Legal business name Samudrala, Srinath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Sep 13th, 2018 - about 7 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 1558302943 NPPES
California MEDICAID 00G830880

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