Gowda, Srisai
Gowda, Srisai is an sole proprietor health care provider with primary practice located at #2106, New Road D-8, Linwood NJ 08221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gowda, Srisai can be contacted via phone (609) 927-1030.Contact Information
Primary practice address
#2106, New Road D-8
Linwood NJ 08221
Phone: (609) 927-1030
Fax: (609) 927-9985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MA065533 | New Jersey |
Profile Details
| NPI number | 1801995352 |
|---|---|
| LBN Legal business name | Gowda, Srisai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Dec 13th, 2019 - about 7 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 | 1801995352 | NPPES |
| New Jersey | MEDICAID | 7375204 |
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