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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841428752 NPPES
Oklahoma MEDICAID 200566560A

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