Vadarevu, Phanikumar Srinivasa

Vadarevu, Phanikumar Srinivasa is an individual health care provider with primary practice located at 1825 Bell St , Sacramento CA 95825-1020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Vadarevu, Phanikumar Srinivasa can be contacted via phone (916) 973-5000.

Contact Information

Primary practice address
1825 Bell St Sacramento CA 95825-1020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A83555 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A83555 California

Profile Details

NPI number 1003912668
LBN Legal business name Vadarevu, Phanikumar Srinivasa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 14th, 2021 - 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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