Individual
DR. KARTHIK SRINIVAS CHERUKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 823-5800
Mailing address
12509 SYCAMORE VIEW DR, POTOMAC, MD 20854-1181
(240) 838-1799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09594
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2017
Last updated
08/01/2018
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