Provider Demographics
NPI:1750660098
Name:GOVINDAPPAGARI, SHRAVYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHRAVYA
Middle Name:
Last Name:GOVINDAPPAGARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11210 SARDIS AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-4189
Mailing Address - Country:US
Mailing Address - Phone:914-953-1048
Mailing Address - Fax:
Practice Address - Street 1:11210 SARDIS AVE APT 303
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-4189
Practice Address - Country:US
Practice Address - Phone:914-953-1048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA147935207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine