Individual
DR. PRASIT SRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9034 COLUMBIA AVE, MUNSTER, IN 46321-2905
(219) 836-0296
(219) 836-0570
Mailing address
9034 COLUMBIA AVE, MUNSTER, IN 46321-2905
(219) 836-0296
(219) 836-0570
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01025002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083225
ANTHEM
IN
01
—
35133426702
FISERV
—
01
—
4043990
AETNA
—
01
—
4921815001
CIGNA
—
01
—
733657
FIRST HEALTH
—
Enumeration date
03/05/2007
Last updated
07/09/2007
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