Individual
SRIDHAR REDDY MADGULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 W MAIN ST, JACKSONVILLE, AR 72076-4304
(501) 982-2108
(501) 982-4951
Mailing address
1110 W MAIN ST, JACKSONVILLE, AR 72076-4304
(501) 982-2108
(501) 982-4951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6524
AR
Other
Enumeration date
08/31/2007
Last updated
11/29/2011
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