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Organization

REVAMP HORMONE REPALCEMENT AND MEDICAL WEIGHT LOSS

Active
Other names
Revamp Hormone Replacement & Weight Loss
Organization subpart
No

Provider details

NPI number
Authorized official
SRIKAR KARANAM DO (PHYSICIAN/OWNER)
(513) 373-9556
Entity
Organization

Contact information

Practice address
161 S RIVERHEATH WAY STE 2600, APPLETON, WI 54915-8420
(513) 373-9556
Mailing address
1027 E GREEN TREE CT APT C, APPLETON, WI 54915-2278
(513) 373-9556

Taxonomy

Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary

Other

Enumeration date
01/15/2025
Last updated
01/15/2025
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