Individual
DR. SREELAKSHMI KOORAGAYALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-1200
Mailing address
16902 MOUNTAIN CLUB AVE, RAWLINGS, MD 21557-1041
(929) 313-4430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0090518
MD
208M00000X
Hospitalist Physician
22596
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2018
Last updated
05/19/2022
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