Individual
DR. SRINIVAS REDDY PULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1575 S MAIN ST, FORT WORTH, TX 76104
(817) 702-3431
(817) 927-3603
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0430736
KS
207R00000X
Internal Medicine Physician
2006012209
MO
207RG0100X
Gastroenterology Physician
Primary
036-115481
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809840
MEDICARE GROUP PTAN
IL
01
—
809840049
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
07/21/2006
Last updated
05/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us