Sridevi Koritala in South Milwaukee - Family Medicine
Sridevi Koritala - NPI 1992883474
Sridevi Koritala is a Family Medicine in South Milwaukee, Wisconsin. Sridevi Koritala practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sridevi Koritala is 1992883474. The last update date is 2021-12-02.
Sridevi Koritala's current location address is 100 - 15th Ave., South Milwaukee, Wisconsin. You can contact this provider via phone number 4147685430 and fax number 4147624225. The mailing address for Sridevi Koritala is 100 - 15th Ave., South Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sridevi Koritala |
|---|---|
| Address | 100 - 15th Ave., South Milwaukee, Wisconsin |
| Phone Number | 4147685430 |
| Fax Number | 4147624225 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992883474 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 100 - 15th Ave. |
|---|---|
| City | South Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 531721160 |
| Phone Number | 4147685430 |
| Fax Number | 4147624225 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 38621 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32497100 | WI | -- |
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What is the unique 10-digit identification code issued to Sridevi Koritala by the Centers for Medicare & Medicaid Services?
The Sridevi Koritala has been assigned the NPI (National Provider Identifier) 1992883474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Sridevi Koritala?
The Sridevi Koritala is physically situated at 100 - 15Th Ave., in the city of South Milwaukee, state of WI, with the postal code 531721160.
What is Sridevi Koritala's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sridevi Koritala is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992883474 to Sridevi Koritala?
The Centers for Medicare & Medicaid Services originally issued the 1992883474 to Sridevi Koritala on 2006-11-01.
As of what date was the information regarding Sridevi Koritala, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sridevi Koritala, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-02.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI