Maddineni, Sridevi
Maddineni, Sridevi is an sole proprietor health care provider with primary practice located at 73 Thompson Poynter Road Suite B, London KY 40741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Maddineni, Sridevi can be contacted via phone (606) 878-6899.Contact Information
Primary practice address
73 Thompson Poynter Road Suite B
London KY 40741
Phone: (606) 878-6899
Fax: (606) 862-4899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 40196 | Kentucky |
Profile Details
| NPI number | 1477694537 |
|---|---|
| LBN Legal business name | Maddineni, Sridevi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2007 |
| Last updated | Feb 25th, 2009 - about 17 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 | 1477694537 | NPPES |
| Kentucky | Other | 000000526210 | ANTHEM BLUE CROSS |
| Kentucky | MEDICAID | 7100036690 | ANTHEM BLUE CROSS |
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