| Dr Sitasravya Devathi, MBBS | |
|
4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Dr Sitasravya Devathi |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 4855 W Arrowhead Rd, Hermantown, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881972206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 57722 (Minnesota) | Primary |
| 208M00000X | Hospitalist | 57722 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aveanna Home Health | Duluth, MN | Home health agency |
| Centerwell Home Health | Duluth, MN | Home health agency |
| Essentia Health Moose Lake Home Care | Moose lake, MN | Home health agency |
| Benedictine Home Health Duluth | Duluth, MN | Home health agency |
| Essentia Health Duluth | Duluth, MN | Hospital |
| Essentia Health St Mary's Hospital - Superior | Superior, WI | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Essentia Health Virginia | Virginia, MN | Hospital |
| Essentia Health Moose Lake | Moose lake, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 369 |
| The Duluth Clinic Ltd | 2567374283 | 1135 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sitasravya Devathi, MBBS 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Sitasravya Devathi, MBBS 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 Ph: (218) 786-8364 |