Individual
SRINIVASU KESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
01056280 A
IN
208M00000X
Hospitalist Physician
01056280A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200389120
—
IN
Enumeration date
03/10/2006
Last updated
03/25/2015
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