Individual
DR. SRIDHAR DURBHAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10215 FERNWOOD RD, SUITE 506, BETHESDA, MD 20817-1106
(301) 530-1010
(301) 897-8597
Mailing address
10215 FERNWOOD RD, SUITE 506, BETHESDA, MD 20817-1106
(301) 530-1010
(301) 897-8597
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D0061416
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D0061416
MD
207XX0801X
Orthopaedic Trauma Physician
D0061416
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3124783
MDIPA/OPCHOICE
—
01
—
37520016
BLUE CROSS OF NATL CAP AR
—
01
—
4170527
CIGNA
—
01
—
64138603
CAREFIRST BLUE CROSS
—
01
—
686082
NCPPO
—
01
—
894071
PTAN NUMBER
MD
Enumeration date
10/12/2006
Last updated
08/15/2013
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