Individual
DR. SREEDEVI CHENNUPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-0400
(585) 922-0455
Mailing address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-0400
(585) 922-0455
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
233042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
02590238
—
NY
Enumeration date
02/27/2007
Last updated
09/01/2022
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