Individual
DR. SRIKAR R MALIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5400 KELL BLVD, WICHITA FALLS, TX 76310-1610
(940) 691-8271
(940) 692-2042
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061129
IN
207R00000X
Internal Medicine Physician
01061129A
IN
207R00000X
Internal Medicine Physician
L7469
TX
207RH0003X
Hematology & Oncology Physician
Primary
L7469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550635
ANTHEM
IN
05
—
160931502
—
TX
05
—
200522490A
—
OR
05
—
200522490A
—
TX
05
—
200892730
—
IN
01
—
P00478524
RAILROAD MEDICARE
IN
01
—
P00975255
RAILROAD MEDICARE
TX
Enumeration date
01/16/2008
Last updated
08/15/2014
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