Individual
SRIKANTH VEDACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
(513) 558-4831
(513) 558-4858
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036168366
IL
207RP1001X
Pulmonary Disease Physician
02006305A
IN
207RP1001X
Pulmonary Disease Physician
036168366
IL
207RP1001X
Pulmonary Disease Physician
Primary
34.014386
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
06/18/2025
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