Individual
SURESH SREEDHARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47461
MN
208000000X
Pediatrics Physician
61310-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285665067
—
WI
Enumeration date
07/06/2006
Last updated
03/06/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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