Kolipaka, Srinivas
Kolipaka, Srinivas is an individual health care provider with primary practice located at 191 Lamar Haley Pkwy , Canton GA 30114-8019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kolipaka, Srinivas can be contacted via phone (770) 704-1600.Contact Information
Primary practice address
191 Lamar Haley Pkwy
Canton GA 30114-8019
Phone: (770) 704-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25890 | Nebraska |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2016-00930 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Texas | |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 63677 | Georgia |
Profile Details
| NPI number | 1831381433 |
|---|---|
| LBN Legal business name | Kolipaka, Srinivas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Jun 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831381433 | NPPES |
| North Carolina | MEDICAID | 1831381433 | |
| North Carolina | MEDICAID | NC2878 |
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