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Individual

SRINIVAS MURTHY MASCAL GANGADHARAIAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7103 W GRANDRIDGE BLVD STE D, KENNEWICK, WA 99336-6713
(509) 676-2160
Mailing address
7103 W GRANDRIDGE BLVD STE D, KENNEWICK, WA 99336-6713
(509) 676-2160

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125055614
IL
207R00000X
Internal Medicine Physician
Primary
MD60286888
WA

Other

Enumeration date
12/20/2011
Last updated
02/14/2025
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