Individual
SREEVATHSA BORAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PROSPECT ST, APT N209, STAMFORD, CT 06901-1696
(313) 686-1024
Mailing address
100 PROSPECT ST, APT N209, STAMFORD, CT 06901-1696
(313) 686-1024
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
60 271604
NY
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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