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Organization
SRINIVAS MEDICAL INC
Active
Organization
SRINIVAS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS-PRASAD REDDY JOLEPALEM MD (PHYSICIAN)
(630) 888-4815
Entity
Organization
Contact information
Practice address
8721 CARRIAGE GREEN DRIVE, DARIEN, IL 60561-8468
(630) 888-4815
(630) 910-4020
Mailing address
8721 CARRIAGE GREEN DRIVE, DARIEN, IL 60561-8468
(630) 888-4815
(630) 910-4020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064406A
IN
207R00000X
Internal Medicine Physician
Primary
036084786
IL
207R00000X
Internal Medicine Physician
32848-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084786
—
IL
Enumeration date
04/18/2012
Last updated
04/29/2013
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