Jatla, Sridhar

Jatla, Sridhar is an individual health care provider with primary practice located at 2330 S Dixon Rd , Kokomo IN 46902-6411. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Jatla, Sridhar can be contacted via phone (765) 455-8822.

Contact Information

Primary practice address
2330 S Dixon Rd Kokomo IN 46902-6411
Phone: (765) 455-8822
Fax: (765) 865-3935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01063214A Indiana
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 01063214A Indiana

Profile Details

NPI number 1891704565
LBN Legal business name Jatla, Sridhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 23rd, 2021 - about 5 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 1891704565 NPPES
Indiana MEDICAID 200903530

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