Venugopal, Sridevi
Venugopal, Sridevi is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Venugopal, Sridevi can be contacted via phone (770) 716-0051.Contact Information
Primary practice address
1255 Highway 54 W
Fayetteville GA 30214-4526
Phone: (770) 716-0051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN235224 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN235224 | Georgia |
Profile Details
| NPI number | 1457129611 |
|---|---|
| LBN Legal business name | Venugopal, Sridevi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2023 |
| Last updated | Jan 14th, 2026 - about 10 months 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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