Individual
DR. SRIRAM SUDARSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 9TH ST, WICHITA FALLS, TX 76301-4133
(940) 766-4488
(940) 322-5765
Mailing address
2 PALUXY CIR, WICHITA FALLS, TX 76309-1428
(940) 691-5551
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F7628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133836006
—
TX
Enumeration date
04/04/2006
Last updated
01/31/2012
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