<Unavail>

LBN: Srinivas Dontineni Md Pa
<Unavail> is an health care organization with primary practice located at 2428 Clearlake Rd Bldg K , Cocoa FL 32922-5722. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Srinivas Dontineni Md Pa can be contacted via phone (321) 368-3862, or through Dontineni, Srinivas Rao via phone (321) 751-9506.

Contact Information

Primary practice address
2428 Clearlake Rd Bldg K Cocoa FL 32922-5722
Phone: (321) 368-3862
Fax: (321) 208-8717
Website:
Map and Directions
Authorized official contact:
Name: Dontineni, Srinivas Rao Doctor of Medicine (MD)
Phone: (321) 751-9506

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1639323041
LBN Legal business name Srinivas Dontineni Md Pa
DBA Doing business as <Unavail>
Authorized official Dontineni, Srinivas Rao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2008
Last updated Jan 28th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639323041 NPPES
Florida MEDICAID 004793700
Florida Other BM919A

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