Individual
DR. SRIHARI DAS KANURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 KELLER PARK BLVD, TUSCUMBIA, AL 35674-1417
(256) 386-4300
(256) 314-4472
Mailing address
234 KELLER PARK BLVD, TUSCUMBIA, AL 35674-1417
(256) 386-4300
(256) 314-4472
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00007320
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000003370
—
AL
01
—
051003370
BLUE CROSS
AL
Enumeration date
09/30/2005
Last updated
04/30/2012
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