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Individual

MR. SRINIVASAN RAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 VENETIAN WAY, STE 200, NEWBURGH, IN 47630-8257
(812) 477-6103
(812) 477-4897
Mailing address
3800 VENETIAN WAY, NEWBURGH, IN 47630-8257
(812) 477-6103
(812) 477-4897

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
010601439A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200801270A
IN
Enumeration date
06/26/2006
Last updated
11/10/2021
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