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Contact Information

SREEDHAR POLAVARAPU MD PA
2501 JIMMY JOHNSON BLVD
SUITE 207
PORT ARTHUR, TX77642
 Phone: 409-722-7500
 Fax: 409-293-4401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SREEDHAR POLAVARAPU MD PA · (Female)

NPI # 1114009586
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # L9431
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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