Individual
MAHESH KUMAR SREEDASYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401
(812) 353-3060
(812) 353-3070
Mailing address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
(812) 353-3060
(812) 353-3070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11015332A
IN
Other
Enumeration date
06/14/2010
Last updated
12/23/2020
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