Individual
SREEKANTH GANAPAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18564 US HIGHWAY 18, SUITE 105, APPLE VALLEY, CA 92307-2312
(760) 242-7777
(760) 242-0487
Mailing address
18144 OUTER HWY 18, STE 200, APPLE VALLEY, CA 92307-2212
(760) 242-7777
(760) 242-0487
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A82967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A829670
—
CA
Enumeration date
05/03/2006
Last updated
10/23/2018
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