Katta, Srinivas Mahesh
Katta, Srinivas Mahesh is an individual health care provider with primary practice located at 3501 W Broadway St , Muskogee OK 74401-2138. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Katta, Srinivas Mahesh can be contacted via phone (918) 913-9408.Contact Information
Primary practice address
3501 W Broadway St
Muskogee OK 74401-2138
Phone: (918) 913-9408
Fax: (888) 383-0122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30949 | Oklahoma |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61441562 | Washington |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2012011844 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2020041626 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 27938 | Nebraska |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 30949 | Oklahoma |
Profile Details
| NPI number | 1841428752 |
|---|---|
| LBN Legal business name | Katta, Srinivas Mahesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Aug 25th, 2023 - about 3 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 | 1841428752 | NPPES |
| Oklahoma | MEDICAID | 200566560A |
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