Individual
DR. PATALAM SRIRAMULU SRIHARSHA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
(570) 455-7064
Mailing address
750 E BROAD ST, HAZLETON, PA 18201-6835
(570) 455-6385
(570) 455-7064
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MD025995E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008345120004
—
PA
Enumeration date
05/26/2006
Last updated
07/08/2007
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