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Individual
SRIDHAR PINNAMANENI
Active
Individual
SRIDHAR PINNAMANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME100408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553300
—
FL
01
—
47618
BCBS
FL
Enumeration date
05/15/2008
Last updated
03/05/2015
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