Individual
CHANNARAYAPATNA R. SRIDHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Mailing address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(215) 663-6677
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD037374L
PA
Other
Enumeration date
05/19/2006
Last updated
08/16/2007
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