Individual
DR. PANDU RANGA SRIDHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 3RD ST W, JBSA RANDOLPH, TX 78150-4800
(210) 652-3646
Mailing address
221 3RD ST W, JBSA RANDOLPH, TX 78150-4800
(210) 652-3646
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01067444A
IN
2080S0010X
Pediatric Sports Medicine Physician
01067444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200971930
—
IN
Enumeration date
12/11/2009
Last updated
04/24/2026
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