Davuluri, Sreenadha Rao

Davuluri, Sreenadha Rao is an individual health care provider with primary practice located at 105 Far West Drive Suite 201, St Joseph MO 64506-3511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Davuluri, Sreenadha Rao can be contacted via phone (816) 271-8182.

Contact Information

Primary practice address
105 Far West Drive Suite 201 St Joseph MO 64506-3511
Phone: (816) 271-8182
Fax: (816) 271-8183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0419788 Kansas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MDR6C71 Missouri

Profile Details

NPI number 1487713798
LBN Legal business name Davuluri, Sreenadha Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Sep 19th, 2017 - about 9 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 1487713798 NPPES
Missouri Other 130019587 RR MEDIACRE
Missouri MEDICAID 1487713798 RR MEDIACRE
Missouri MEDICAID 100123200C RR MEDIACRE

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