Vedantam, Sridevi A

Vedantam, Sridevi A is an individual health care provider with primary practice located at 10318 Copper Ridge Dr , Fishers IN 46040-1465. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vedantam, Sridevi A can be contacted via phone (765) 965-6566.

Contact Information

Primary practice address
10318 Copper Ridge Dr Fishers IN 46040-1465
Phone: (765) 965-6566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01047370A Indiana

Profile Details

NPI number 1205810207
LBN Legal business name Vedantam, Sridevi A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 28th, 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 1205810207 NPPES
Indiana MEDICAID 200138750
Indiana Other 000000683524

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