Somyreddy, Kishori Venkata Laxmi

Somyreddy, Kishori Venkata Laxmi is an sole proprietor health care provider with primary practice located at 1110 Cottonwood Ln Ste 205 , Irving TX 75038-6111. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Somyreddy, Kishori Venkata Laxmi can be contacted via phone (214) 727-8900.

Contact Information

Primary practice address
1110 Cottonwood Ln Ste 205 Irving TX 75038-6111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 14852 New Hampshire
Other Service Providers / Specialist 174400000X R9692 Texas

Profile Details

NPI number 1407073216
LBN Legal business name Somyreddy, Kishori Venkata Laxmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Apr 13th, 2020 - about 4 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 1407073216 NPPES
New Hampshire MEDICAID 30209662

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