Venigalla, Srividya
Venigalla, Srividya is an individual health care provider with primary practice located at 1813 W Harvard Ave #426, Roseburg OR 97471-2752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Venigalla, Srividya can be contacted via phone (541) 957-8662.Contact Information
Primary practice address
1813 W Harvard Ave #426
Roseburg OR 97471-2752
Phone: (541) 957-8662
Fax: (541) 957-8667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD25891 | Oregon |
Profile Details
| NPI number | 1104887595 |
|---|---|
| LBN Legal business name | Venigalla, Srividya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Sep 9th, 2014 - about 10 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 | 1104887595 | NPPES |
| Oregon | MEDICAID | 026827 |
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