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Individual

SRIHARSHA VELURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 SCIOTO TRL STE 200, PORTSMOUTH, OH 45662-5122
(740) 353-8100
(740) 353-8908
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32164
KY
207RC0000X
Cardiovascular Disease Physician
35.073565
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000225945
BLUE CROSS
KY
05
0279827
OH
01
060067518
RAILROAD
OH
01
060069739
RAILROAD
KY
05
642321649
KY
01
P00704452
MEDICARE RAILROAD
KY
01
P00716515
MEDICARE RAILROAD
OH
Enumeration date
08/22/2006
Last updated
10/22/2015
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