Individual
DR. SREEDEVI KOMARNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2214 N ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16803-1544
(814) 237-0567
(814) 237-0569
Mailing address
2214 N ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16803-1544
(814) 237-0567
(814) 237-0569
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD031425E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229631NKA
PTAN
PA
Enumeration date
07/24/2006
Last updated
04/21/2016
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