Individual
SRUTHI R POLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5202
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD460507
PA
Other
Enumeration date
07/13/2011
Last updated
04/12/2018
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