Individual
DR. SRIDEVI VENIGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2505 SAMARITAN DR, SUITE 304, SAN JOSE, CA 95124-4006
(408) 377-8100
(408) 377-3044
Mailing address
2505 SAMARITAN DR, SUITE 304, SAN JOSE, CA 95124-4006
(408) 377-8100
(408) 377-3044
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A103762
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD 28669
OR
Other
Enumeration date
05/07/2007
Last updated
01/18/2011
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