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NPI Code Detail

MEDICARE: SREEDEVI YERRAPRAGADA MD

MEDICARE: SREEDEVI YERRAPRAGADA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician12063RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629076120
Entity Type Code : Individual
Provider Name (Legal Business Name) : SREEDEVI YERRAPRAGADA MD
Provider Business Mailing Address
First Line : 2508 BERT KOUNS LOOP
Second Line : SUITE 400
City : SHREVEPORT
State : LA
Zip : 71118-3133
Country : US
Telephone Number : 318-673-8320
Fax Number : 318-673-8320
Provider Business Practice Location Address
First Line : 2508 BERT KOUNS LOOP
Second Line : SUITE 400
City : SHREVEPORT
State : LA
Zip : 71118-3133
Country : US
Telephone Number : 318-673-8320
Fax Number : 318-673-8320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 02/01/2013

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Directions to “ SREEDEVI YERRAPRAGADA MD” Practice Location

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