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Individual

SRIKANTH SADHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL CENTER DR, STE 290A, MIDDLETOWN, OH 45005-5200
(513) 425-7135
(513) 420-4662
Mailing address
200 MEDICAL CENTER DR, STE 290A, MIDDLETOWN, OH 45005-5200
(513) 425-7135
(513) 420-4662

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
41792
KY
207RI0011X
Interventional Cardiology Physician
Primary
35.098771
OH
207RI0011X
Interventional Cardiology Physician
41792
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000584957
BCBS
KY
05
0065350
OH
05
7100049100
KY
Enumeration date
06/21/2007
Last updated
11/15/2013
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