Donthineni, Srivalli
Donthineni, Srivalli is an individual health care provider with primary practice located at 1125 W Highway 30 , Gonzales LA 70737-5004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Donthineni, Srivalli can be contacted via phone (225) 647-8511.Contact Information
Primary practice address
1125 W Highway 30
Gonzales LA 70737-5004
Phone: (225) 647-8511
Fax: (225) 644-5213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15830R | Louisiana |
Profile Details
| NPI number | 1609981166 |
|---|---|
| LBN Legal business name | Donthineni, Srivalli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Sep 13th, 2011 - about 15 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 | 1609981166 | NPPES |
| Louisiana | MEDICAID | 1476951 |
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