Individual
DR. MARUTHI SRIKANTH PENUMETSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4007 GATEWAY BLVD # 100, NEWBURGH, IN 47630-8947
(812) 842-0907
(812) 490-7919
Mailing address
4015 GATEWAY BLVD, STE 2120, NEWBURGH, IN 47630-9460
(812) 492-5457
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249875
MA
207RC0000X
Cardiovascular Disease Physician
MD452272
PA
207RI0011X
Interventional Cardiology Physician
Primary
01078151A
IN
208M00000X
Hospitalist Physician
249875
MA
Other
Enumeration date
09/10/2008
Last updated
07/21/2022
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