National Provider Identifier
Srinivas S Bommireddipalli, M.D
Srinivas S Bommireddipalli, M.D is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Jamestown, NY and a listed phone number of (301) 618-3754.
Profile Overview
- NPI
- 1659688224
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- September 02, 2010
- Last Updated
- November 11, 2024
Practice Location
- 207 Foote Ave
- Wca Hospital
- Jamestown, NY 14701
Phone: (301) 618-3754
Mailing Address
- 207 Foote Ave
- Jamestown, NY 14701-7077
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1659688224
- Entity Type
- Individual
- Last Name
- Bommireddipalli
- First Name
- Srinivas
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- M.D
- Provider Other Last Name
- Bommireddipalli Satya
- Provider Other First Name
- Sesha
- Provider Other Middle Name
- Srinivas
- Provider Other Credential Text
- M.D
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 207 Foote Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-7077
- Mailing Country
- US
- Mailing Phone
- (301) 221-0034
- Practice Street Address
- 207 Foote Ave
- Practice Address Line 2
- Wca Hospital
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701
- Practice Country
- US
- Practice Phone
- (301) 618-3754
- Enumeration Date
- September 02, 2010
- Last Updated
- November 11, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- November 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 272799 (NY, License), 03841949 (NY)