Daggubati, Sreedevi
Daggubati, Sreedevi is an individual health care provider with primary practice located at 4411 Medical Dr , San Antonio TX 78229-3832. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Daggubati, Sreedevi can be contacted via phone (210) 595-5300.Contact Information
Primary practice address
4411 Medical Dr
San Antonio TX 78229-3832
Phone: (210) 595-5300
Fax: (210) 614-8740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | L1554 | Texas |
Profile Details
| NPI number | 1952373656 |
|---|---|
| LBN Legal business name | Daggubati, Sreedevi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Feb 18th, 2016 - 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 | 1952373656 | NPPES |
| Texas | Other | 852180 | BCBS |
| Texas | MEDICAID | 177145303 | BCBS |
| Texas | Other | P01547644 | BCBS |
| Texas | MEDICAID | 177145301 | BCBS |
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