Individual
DR. SRINIVAS J. IVATURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT, LEBANON, NH 03756-1000
(603) 650-8113
(603) 650-8030
Mailing address
1 MEDICAL CENTER DR, DEPARTMENT OF COLON & RECTAL SURGERY, LEBANON, NH 03756-1000
(603) 650-8113
(603) 650-8030
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
16715
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2007
Last updated
08/21/2014
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