Sriharsha, Patalam Sriramulu

Sriharsha, Patalam Sriramulu is an individual health care provider with primary practice located at 750 E Broad St , Hazleton PA 18201-6835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Sriharsha, Patalam Sriramulu can be contacted via phone (570) 455-6385.

Contact Information

Primary practice address
750 E Broad St Hazleton PA 18201-6835
Phone: (570) 455-6385
Fax: (570) 455-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD025995E Pennsylvania

Profile Details

NPI number 1154377562
LBN Legal business name Sriharsha, Patalam Sriramulu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1154377562 NPPES
Pennsylvania MEDICAID 0008345120004

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