Individual
DR. SRIDHAR S CHILIMURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1234
(718) 960-2055
Mailing address
400 E 84TH ST, 15 D, NEW YORK, NY 10028-5606
(212) 600-1249
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
189459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01425098
—
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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