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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SREEDHAR POLAVARAPU MD PA

Active Organization

SREEDHAR POLAVARAPU MD PA is a Gastroenterology organization located in PORT ARTHUR, Texas. NPI 1114009586 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · PORT ARTHUR, TX

Registration Details

NPI Number
1114009586
Provider Type
Organization
NPI Issued
Oct 19, 2006 (19.854222796594 yrs)
Last Updated
Aug 22, 2020
License
L9431 (TX)

Practice Information

Address
2501 JIMMY JOHNSON BLVD
SUITE 207
PORT ARTHUR, TX, 77642
Browse TX providers · Browse ZIP 77642
Phone
4097227500
Fax
4092934401
Primary Specialty
Gastroenterology
207RG0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.