Vadarevu, Phanikumar Srinivasa
Vadarevu, Phanikumar Srinivasa is an individual health care provider with primary practice located at 1825 Bell St , Sacramento CA 95825-1020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Vadarevu, Phanikumar Srinivasa can be contacted via phone (916) 973-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A83555 | California |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A83555 | California |
Profile Details
| NPI number | 1003912668 |
|---|---|
| LBN Legal business name | Vadarevu, Phanikumar Srinivasa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Dec 14th, 2021 - about 4 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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