Srinivasa Rao Kothapalli in Port Arthur - Cardiovascular Disease

Srinivasa Rao Kothapalli - NPI 1528036118

Srinivasa Rao Kothapalli is a Cardiovascular Disease in Port Arthur, Texas. Srinivasa Rao Kothapalli practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Srinivasa Rao Kothapalli is 1528036118. The last update date is 2020-03-31.

Srinivasa Rao Kothapalli's current location address is 2501 Jimmy Johnson Boulevard, Port Arthur, Texas. You can contact this provider via phone number 4097236600 and fax number 4097236698. The mailing address for Srinivasa Rao Kothapalli is 2501 Jimmy Johnson Boulevard, Port Arthur, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Srinivasa Rao Kothapalli
Address 2501 Jimmy Johnson Boulevard, Port Arthur, Texas
Phone Number 4097236600
Fax Number 4097236698
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1528036118
Provider Enumeration Date 2006-03-09
Last Updated Date 2020-03-31

Provider Mailing Address Detail

Address 2501 Jimmy Johnson Boulevard
City Port Arthur
State Texas (TX)
Post Code 77640
Phone Number 4097236600
Fax Number 4097236698

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No J1286
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22015 TX GTPA
60042362 PALMETTO GBA

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FAQs about Srinivasa Rao Kothapalli

What is the unique 10-digit identifier code assigned to Srinivasa Rao Kothapalli by the Centers for Medicare & Medicaid Services?

The Srinivasa Rao Kothapalli has been issued the NPI (National Provider Identifier) 1528036118 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Srinivasa Rao Kothapalli is physically located?

The Srinivasa Rao Kothapalli is situated at the following address: 2501 Jimmy Johnson Boulevard, Port Arthur, TX 77640.

What is Srinivasa Rao Kothapalli's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Srinivasa Rao Kothapalli's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.

On what date did Srinivasa Rao Kothapalli receive its 1528036118 assignment from the Centers for Medicare & Medicaid Services?

The Srinivasa Rao Kothapalli was assigned its 1528036118 on 2006-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Srinivasa Rao Kothapalli last refreshed?

The information related to the Srinivasa Rao Kothapalli, including its address, specialty, and other relevant details, was last updated on 2020-03-31.

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