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Individual

SRINIVAS MORAMPUDI

Active
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Individual

SRINIVAS MORAMPUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD486126
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36111217
—
IL
01
—
5715390
BCBS
IL
01
—
95164
HEALTH ALLIANCE
IL
01
—
P00192047
MEDICARE RAILROAD
IL
Enumeration date
07/08/2006
Last updated
09/25/2024
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