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Phanikumar Srinivasa Vadarevu

Internist Geriatric Medicine

1825 Bell St
Sacramento , California 95825-1020

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Phanikumar Srinivasa Vadarevu

Internist Geriatric Medicine

1825 Bell St
Sacramento , California 95825-1020

(916) 973-5000

Write a Review Save Call

Phanikumar Srinivasa Vadarevu

Internist Geriatric Medicine

1825 Bell St
Sacramento , California 95825-1020

(916) 973-5000 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Geriatric Medicine

Languages spoken

  • English

Location

1825 Bell St Sacramento , California 95825-1020

First Address

  • Phanikumar Srinivasa Vadarevu
  • 1825 Bell St
  • Sacramento, CA
  • Zip : 95825-1020
  • Phone : (916) 973-5000

Second Address

  • Phanikumar Srinivasa Vadarevu
  • 1825 Bell St
  • Sacramento, CA
  • Zip : 95825-1020
  • Phone : (916) 973-5000

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FAQs


Where did Phanikumar Srinivasa Vadarevu attend graduate school?

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Where did Phanikumar Srinivasa Vadarevu do his residency?

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Where did Phanikumar Srinivasa Vadarevu do his fellowship?

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Is Phanikumar Srinivasa Vadarevu board certified?

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What type of doctor is Phanikumar Srinivasa Vadarevu

Geriatric Medicine

In what state does Phanikumar Srinivasa Vadarevu practice in?

California

Where is Phanikumar Srinivasa Vadarevu ’s practice located?

1825 Bell St , Sacramento, California, 95825-1020

What is Phanikumar Srinivasa Vadarevu ’s gender?

Male

Is Phanikumar Srinivasa Vadarevu a sole practitioner?

No

Is Phanikumar Srinivasa Vadarevu accepting new patients?

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What languages does Phanikumar Srinivasa Vadarevu speak?

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Does Phanikumar Srinivasa Vadarevu accept insurance?

Yes, Phanikumar Srinivasa Vadarevu accepts insurance

Does Phanikumar Srinivasa Vadarevu offers telemedicine?

Phanikumar Srinivasa Vadarevu has not indicated if he offers telemedicine

What is Phanikumar Srinivasa Vadarevu ’s professional license number?

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What is Phanikumar Srinivasa Vadarevu ’s NPI number?

1003912668

Does Phanikumar Srinivasa Vadarevu have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist A83555 CA
N 111NI0900X Internist A83555 CA
Y 207RG0300X Geriatric Medicine A83555 CA

National Provider Identifier

NPI 1003912668
Provider Name Phanikumar Srinivasa Vadarevu
First Address Sacramento, CA 95825-1020
Second Address Sacramento, CA 95825-1020
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/09/2006
Last Update Date 14/12/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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