Bramhadevi, Srinivas R
Bramhadevi, Srinivas R is an individual health care provider with primary practice located at 1497 Lafayette Street , Lagrange GA 30241-2552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bramhadevi, Srinivas R can be contacted via phone (706) 880-7335.Contact Information
Primary practice address
1497 Lafayette Street
Lagrange GA 30241-2552
Phone: (706) 880-7335
Fax: (706) 812-2403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45129 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 61946 | Georgia |
Profile Details
| NPI number | 1750338968 |
|---|---|
| LBN Legal business name | Bramhadevi, Srinivas R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Oct 3rd, 2019 - about 7 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 | 1750338968 | NPPES |
| Georgia | MEDICAID | 720484389A | |
| Georgia | MEDICAID | 34342600 | |
| Georgia | MEDICAID | 720484389 | |
| Georgia | Other | P00972282 |
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