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Contact Information

SRIDEVI BAVIRISETTY
1063 MOSSER RD
APT F204
BREINIGSVILLE, PA18031
 Phone: 609-915-4999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SRIDEVI BAVIRISETTY · (Female)

NPI Number 1114476819
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2016
Last updated 10/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5302041050
  • PA License # 450153
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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