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SREEDHAR POLAVARAPU MD PA
NPI 1114009586
Internal Medicine - Geriatric Medicine in Port Arthur, TX

Active since October 19, 2006
2501 JIMMY JOHNSON BLVD, SUITE 207, PORT ARTHUR, TX 77642(409) 722-7500(409) 293-4401 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sreedhar Polavarapu Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SREEDHAR POLAVARAPU MD PA (NPI 1114009586) is a healthcare organization registered as a geriatric medicine in Port Arthur, Texas and active in the NPI registry since October 2006. The organization lists Sreedhar Polavarapu, President, as its authorized official.

NPPES Registry Identity

NPI1114009586
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSREEDHAR POLAVARAPU MD PA
Location Address2501 JIMMY JOHNSON BLVD, SUITE 207Port Arthur, TX 77642
Mailing Address2501 Jimmy Johnson Blvd, Suite 207Port Arthur, TX 77642 · (409) 722-7500 · Fax (409) 293-4401
Phone(409) 722-7500
Fax(409) 293-4401
Organization SubpartNo
Authorized OfficialSreedhar PolavarapuPresident · (409) 722-7500
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114009586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in TX · L9431
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
2501 JIMMY JOHNSON BLVD, Port Arthur, TX 77642
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sreedhar Polavarapu MD PA's NPI number?

The NPI number for Sreedhar Polavarapu MD PA is 1114009586. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Sreedhar Polavarapu MD PA located?

Sreedhar Polavarapu MD PA is located at 2501 Jimmy Johnson Blvd Suite 207, Port Arthur, TX 77642. The listed phone number is (409) 722-7500.

What is Sreedhar Polavarapu MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Sreedhar Polavarapu MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.