National Provider Identifier Database

SREEDHAR POLAVARAPU MD PA
Geriatric Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.


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
* Geriatric Medicine 207RG0300X

* Indicates primary specialty

NPI Profile & details for SREEDHAR POLAVARAPU MD PA

NPI Number 1114009586
Legal business name
LBN
SREEDHAR POLAVARAPU MD PA
Authorized official SREEDHAR POLAVARAPU - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: L9431

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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