Kothapalli, Srinivasa Rao
Kothapalli, Srinivasa Rao is an individual health care provider with primary practice located at 2501 Jimmy Johnson Boulevard Suite 500, Port Arthur TX 77640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kothapalli, Srinivasa Rao can be contacted via phone (409) 723-6600.Contact Information
Primary practice address
2501 Jimmy Johnson Boulevard Suite 500
Port Arthur TX 77640
Phone: (409) 723-6600
Fax: (409) 723-6698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | J1286 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J1286 | Texas |
Profile Details
| NPI number | 1528036118 |
|---|---|
| LBN Legal business name | Kothapalli, Srinivasa Rao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 31st, 2020 - 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 | 1528036118 | NPPES |
| Texas | Other | 22015 | GTPA |
| Texas | Other | 060042362 | GTPA |
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