Provider Demographics
NPI:1538912654
Name:DAMALAPATI, SAI SRI VENKATA YESHWANTH
Entity type:Individual
Prefix:
First Name:SAI SRI VENKATA
Middle Name:YESHWANTH
Last Name:DAMALAPATI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HOSPITAL AVENUE, DANBURY HOSPITAL
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6099
Mailing Address - Country:US
Mailing Address - Phone:203-739-8105
Mailing Address - Fax:203-749-9092
Practice Address - Street 1:24 HOSPITAL AVENUE, DANBURY HOSPITAL
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6099
Practice Address - Country:US
Practice Address - Phone:203-739-8105
Practice Address - Fax:203-749-9092
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2025-03-20
Deactivation Date:2024-11-11
Deactivation Code:
Reactivation Date:2025-03-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program