Tadikonda, Sreenivasa Rao

Tadikonda, Sreenivasa Rao is an sole proprietor health care provider with primary practice located at 120 Paleo Dr , Monroe LA 71203-8844. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Tadikonda, Sreenivasa Rao can be contacted via phone (318) 651-7410.

Contact Information

Primary practice address
120 Paleo Dr Monroe LA 71203-8844
Phone: (318) 651-7410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD201751 Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.201751 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.201751 Louisiana

Profile Details

NPI number 1881889970
LBN Legal business name Tadikonda, Sreenivasa Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2007
Last updated Apr 27th, 2021 - about 3 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 1881889970 NPPES
Louisiana MEDICAID 1071340

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