Neravetla, Soumya
Neravetla, Soumya is an individual health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Neravetla, Soumya can be contacted via phone (512) 509-0200.Contact Information
Primary practice address
302 University Blvd
Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 066970 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.129702 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 066970 | Georgia |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35.129702 | Ohio |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | V2646 | Texas |
Profile Details
| NPI number | 1558511865 |
|---|---|
| LBN Legal business name | Neravetla, Soumya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2008 |
| Last updated | Feb 19th, 2025 - about last year |
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 | 1558511865 | NPPES |
| Other | 12455059 | CAQH | |
| MEDICAID | 0189204 | CAQH |
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