Individual
KANDIPATI SREENIVASARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7901 S 6TH ST, OAK CREEK, WI 53154-2010
(414) 346-8000
Mailing address
7901 S 6TH ST, OAK CREEK, WI 53154-2010
(414) 346-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68639
WI
Other
Enumeration date
05/03/2015
Last updated
09/23/2025
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