Alla, Sridevi
Alla, Sridevi is an individual health care provider with primary practice located at 332 Highway 12 W , Kosciusko MS 39090-3209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Alla, Sridevi can be contacted via phone (662) 289-1800.Contact Information
Primary practice address
332 Highway 12 W
Kosciusko MS 39090-3209
Phone: (662) 289-1800
Fax: (662) 289-2489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22172 | Mississippi |
Profile Details
| NPI number | 1700016763 |
|---|---|
| LBN Legal business name | Alla, Sridevi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2009 |
| Last updated | Apr 3rd, 2013 - about 13 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 | 1700016763 | NPPES |
| Mississippi | MEDICAID | 05188833 |
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