Organization
SREEDHAR POLAVARAPU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREEDHAR POLAVARAPU MD (PRESIDENT)
(409) 722-7500
Entity
Organization
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, SUITE 207, PORT ARTHUR, TX 77642
(409) 722-7500
(409) 293-4401
Mailing address
2501 JIMMY JOHNSON BLVD, SUITE 207, PORT ARTHUR, TX 77642
(409) 722-7500
(409) 293-4401
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L9431
TX
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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