NPI 1700016763 · live from the CMS NPI Registry
Sridevi Alla, M.D.
Family Medicine in Kosciusko, MS. National Provider Identifier 1700016763, active.
NPI record
| NPI | 1700016763 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 332 Highway 12 W, Kosciusko, MS 39090 |
| Practice phone | 662-289-1800 |
| Mailing address | 1225 N State St, Jackson, MS 39202 |
| Enumerated | July 23, 2009 |
| Last updated | October 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 22172 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.