Individual
SRIVALLI ADARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 W 15TH ST, 100, PLANO, TX 75093-5803
(469) 408-9558
(888) 393-5922
Mailing address
PO BOX 251382, PLANO, TX 75025-1382
(469) 408-9558
(888) 393-5922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2867
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
N2867
TX
207RI0200X
Infectious Disease Physician
Primary
N2867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833120
MEDICARE GROUP #
—
01
—
CA2264
RR MEDICARE GROUP #
—
01
—
P00798690
RR MEDICARE INDIVIDUAL #
—
Enumeration date
05/31/2007
Last updated
06/09/2020
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