Individual
SRIDHAR NARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3708 JEFFERSON ST, STE A, AUSTIN, TX 78731-6206
(512) 459-6503
(512) 454-7453
Mailing address
3708 JEFFERSON ST, STE A, AUSTIN, TX 78731-6206
(512) 459-6503
(512) 454-7453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301074999
MI
208M00000X
Hospitalist Physician
Primary
N1401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104437440
—
MI
05
—
443744010
—
MI
01
—
5237621
LEGACY
—
01
—
5315009871
PHARMACY LIC
MI
01
—
TXB150302
WELLMED MEDICAL GROUP PA
—
01
—
TXB155615
WELLMED NETWORKS INC
TX
01
—
TXB155615
WELLMED NETWORKS INC
—
Enumeration date
02/13/2006
Last updated
07/17/2015
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