Gangineni, Srinivas K.

Gangineni, Srinivas K. is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gangineni, Srinivas K. can be contacted via phone (605) 755-1000.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701-7375
Phone: (605) 755-1000
Fax: (605) 755-8826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50659 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 52222 Minnesota

Profile Details

NPI number 1881865392
LBN Legal business name Gangineni, Srinivas K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Jul 21st, 2022 - about 4 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 1881865392 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID 6006780
Minnesota MEDICAID ENROLLED

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