Gollamudi, Sreevani
Gollamudi, Sreevani is an individual health care provider with primary practice located at 1 Medical Center Dr , Middletown OH 45005. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gollamudi, Sreevani can be contacted via phone (513) 705-4754.Contact Information
Primary practice address
1 Medical Center Dr
Middletown OH 45005
Phone: (513) 705-4754
Fax: (513) 420-5156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-097147 | Ohio |
Profile Details
| NPI number | 1053572057 |
|---|---|
| LBN Legal business name | Gollamudi, Sreevani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Jun 28th, 2018 - about 8 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 | 1053572057 | NPPES |
| Ohio | MEDICAID | 0050309 |
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