Provider Demographics
NPI:1205167756
Name:SREYA LLC
Entity type:Organization
Organization Name:SREYA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VENKATA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-723-5023
Mailing Address - Street 1:8465 KEYSTONE XING
Mailing Address - Street 2:SUITE 250
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-4355
Mailing Address - Country:US
Mailing Address - Phone:317-723-5023
Mailing Address - Fax:317-522-0032
Practice Address - Street 1:8465 KEYSTONE XING
Practice Address - Street 2:SUITE 250
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-4355
Practice Address - Country:US
Practice Address - Phone:317-723-5023
Practice Address - Fax:317-522-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health