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Contact Information

SRINIVAS S BOMMIREDDIPALLI, MD
207 FOOTE AVE
WCA HOSPITAL
JAMESTOWN, NY14701
 Phone: 301-618-3754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SRINIVAS S BOMMIREDDIPALLI · (Male)

NPI # 1659688224
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2010
Last updated 11/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 272799
  • NY Medicaid 03841949
  • NY Other 272799 LICENSE
Hospital affiliation(s)
  • WOMAN'S CHRISTIAN ASSOCIATION - (Acute Care)
    207 FOOTE AVENUE
    JAMESTOWN, NY 14701
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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