Srinivasa, Sarala Hosdurga

Srinivasa, Sarala Hosdurga is an sole proprietor health care provider with primary practice located at 7752 Shelter Wood Ct , Jacksonville FL 32256-2346. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Srinivasa, Sarala Hosdurga can be contacted via phone (904) 472-1816.

Contact Information

Primary practice address
7752 Shelter Wood Ct Jacksonville FL 32256-2346
Phone: (904) 472-1816
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME84718 Florida

Profile Details

NPI number 1134186125
LBN Legal business name Srinivasa, Sarala Hosdurga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Feb 2nd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134186125 NPPES
Florida MEDICAID 264159300
Florida Other P00457783

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