# SRI MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699950733
- **Authorized official:** DR. SREEKANTH GANAPAVARAPU M.D. (PRESIDENT)
- **Authorized official phone:** (909) 229-7500

## Contact information

- **Practice address:** 18564 HIGHWAY 18, SUITE\# 105, APPLE VALLEY, CA 92307-2312
- **Practice address phone:** (760) 242-7777
- **Practice address fax:** (909) 563-8447
- **Mailing address:** 8383 SVL BOX, VICTORVILLE, CA 92395-5168
- **Mailing address phone:** (909) 229-7500
- **Mailing address fax:** (909) 563-8447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A82967 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 12/03/2012