Individual
DR. SRINIVASA PRASAD VENKATA KANUPARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-7200
(215) 707-3831
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-7200
(215) 707-3831
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MT221042
PA
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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