Sridhar Jatla is a Sleep Medicine in Kokomo, Indiana. Sridhar Jatla practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Sridhar Jatla is 1891704565. The last update date is 2021-03-23.
Sridhar Jatla's current location address is 2330 S Dixon Rd, Kokomo, Indiana. You can contact this provider via phone number 7654558822 and fax number 7658653935. The mailing address for Sridhar Jatla is 2330 S Dixon Rd, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sridhar Jatla |
|---|---|
| Address | 2330 S Dixon Rd, Kokomo, Indiana |
| Phone Number | 7654558822 |
| Fax Number | 7658653935 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891704565 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2021-03-23 |
Provider Mailing Address Detail
| Address | 2330 S Dixon Rd |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469026411 |
| Phone Number | 7654558822 |
| Fax Number | 7658653935 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 01063214A |
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Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200903530 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sridhar Jatla by the Centers for Medicare & Medicaid Services (CMS)?
The Sridhar Jatla has been assigned the NPI (National Provider Identifier) 1891704565. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Sridhar Jatla?
The Sridhar Jatla is situated at 2330 S Dixon Rd, in the city of Kokomo, state of IN, with the zip code 469026411.
What is the Sridhar Jatla's specialty and taxonomy code?
The Sridhar Jatla's specialty is Sleep Medicine, and the corresponding taxonomy code is 2084S0012X.
On what date did Sridhar Jatla receive its 1891704565 assignment from the Centers for Medicare & Medicaid Services?
The Sridhar Jatla was assigned its 1891704565 on 2006-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Sridhar Jatla most recently updated or revised?
The details related to Sridhar Jatla, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-23.