Individual
SRIDEVI DONEPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
239 CHRISTIANA RD, NEW CASTLE, DE 19720-2907
(302) 327-7630
Mailing address
200 HYGEIA DR, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036108481
IL
207Q00000X
Family Medicine Physician
04-32448
KS
207Q00000X
Family Medicine Physician
Primary
C1-0011878
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108481
—
IL
01
—
04932321
BLUE CROSS BLUE SHIELD
IL
05
—
200438380A
—
KS
01
—
2162900
FIRST HEALTH
IL
01
—
731672215
CCN FIRST CHOICE
IL
01
—
731672215A
HUMANA
IL
Enumeration date
06/16/2005
Last updated
11/02/2016
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