Individual
NAGARAJA R SRINIVASAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1712 1ST ST E, HUMBLE, TX 77338-5238
(281) 446-4139
(281) 446-4860
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F3625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88Y336
BCBS
TX
Enumeration date
07/09/2006
Last updated
02/12/2008
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