NPI Details
DR. Sreedhar Polavarapu, M.D. is an internal medicine in Nederland, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Sreedhar Polavarapu, M.D. NPI is 1427040815. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3216 NEDERLAND AVENUE
NEDERLAND, TX
ZIP 77627-025
Phone: (409) 722-7500
Fax: (409) 293-4401
The NPI 1427040815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 45D1048606 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/22/2005 and was last updated on 1/18/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | L-9431 | TEXAS | No |
| 2 | 207R00000X | Internal Medicine | | L9431 | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | G55449 | MEDICARE UPIN | | |
| 2 | 178686501 | MEDICAID | TEXAS | |
| 3 | 0598X | MEDICARE PIN | | |
