Srinivasa, Sarala Hosdurga
Srinivasa, Sarala Hosdurga is an sole proprietor health care provider with primary practice located at 7752 Shelter Wood Ct , Jacksonville FL 32256-2346. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Srinivasa, Sarala Hosdurga can be contacted via phone (904) 472-1816.Contact Information
Primary practice address
7752 Shelter Wood Ct
Jacksonville FL 32256-2346
Phone: (904) 472-1816
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME84718 | Florida |
Profile Details
NPI number | 1134186125 |
---|---|
LBN Legal business name | Srinivasa, Sarala Hosdurga |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 26th, 2006 |
Last updated | Feb 2nd, 2017 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134186125 | NPPES |
Florida | MEDICAID | 264159300 | |
Florida | Other | P00457783 |
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