Individual
A R SRIKANTIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9884 CADIZ RD, CAMBRIDGE, OH 43725-9633
(740) 432-7319
(740) 432-7310
Mailing address
9884 CADIZ RD, CAMBRIDGE, OH 43725-9633
(740) 432-7319
(740) 432-7310
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35040065S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118077
ANTHEM
—
05
—
0316518
—
OH
Enumeration date
06/21/2005
Last updated
10/20/2011
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