Siruvella, Sridevi
Siruvella, Sridevi is an individual health care provider with primary practice located at 705 Breedlove Dr Suite 800, Monroe GA 30655-2090. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Siruvella, Sridevi can be contacted via phone (770) 266-0567.Contact Information
Primary practice address
705 Breedlove Dr Suite 800
Monroe GA 30655-2090
Phone: (770) 266-0567
Fax: (770) 266-0507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 057019 | Georgia |
Profile Details
| NPI number | 1164483871 |
|---|---|
| LBN Legal business name | Siruvella, Sridevi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164483871 | NPPES |
| Georgia | MEDICAID | 245861061C |
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