Individual
DR. SRINIVASA REDDY PUNYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
207 N 4TH AVE, HOPEWELL, VA 23860-2503
(804) 541-0918
(804) 541-7924
Mailing address
207 NORTH 4TH AVE., HOPEWELL, VA 23860
(804) 541-0918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101262419
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/17/2013
Last updated
07/21/2022
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