Individual
SRINIVASARAO MANCHIKALAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150
(812) 948-2232
(812) 945-0869
Mailing address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150
(812) 948-2232
(812) 945-0869
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
01053939A
IN
207RI0011X
Interventional Cardiology Physician
32499
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200324770A
—
IN
05
—
64032402
—
KY
Enumeration date
07/12/2006
Last updated
12/08/2020
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