Dontineni, Srinivas Rao

Dontineni, Srinivas Rao is an sole proprietor health care provider with primary practice located at 2428 Clearlake Rd Bldg K , Cocoa FL 32922-5722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dontineni, Srinivas Rao can be contacted via phone (321) 368-3862.

Contact Information

Primary practice address
2428 Clearlake Rd Bldg K Cocoa FL 32922-5722
Phone: (321) 368-3862
Fax: (321) 208-8717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME88036 Florida

Profile Details

NPI number 1669467155
LBN Legal business name Dontineni, Srinivas Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Jan 28th, 2025 - about last year

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 1669467155 NPPES
Florida Other 82027 BLUE CROSS BLUE SHIELD
Florida MEDICAID 268191900 BLUE CROSS BLUE SHIELD

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