Individual
MR. SRIKANTH REDDY MADDIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4422 3RD AVE DEPT OF, BRONX, NY 10457-2545
(718) 960-6205
Mailing address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 467-6314
(770) 467-6324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065586
IL
207R00000X
Internal Medicine Physician
290279
NY
208M00000X
Hospitalist Physician
Primary
89947
GA
Other
Enumeration date
08/07/2014
Last updated
10/27/2021
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