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Individual

SREEDEVI KOPPISETTI JENIGIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-41915
IA
207RN0300X
Nephrology Physician
Primary
MD-41915
IA
208M00000X
Hospitalist Physician
MD.205697
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00303879
MS
05
2324098
LA
Enumeration date
04/24/2008
Last updated
08/07/2026
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