Individual
DR. SRIVALLI KONDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 HAVERHILL STREET, ANDOVER, MA 01810
(978) 470-1616
(978) 470-8166
Mailing address
P.O. BOX 760, WINCHESTER, MA 01890
(781) 756-7274
(781) 721-0725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
248760
MA
Other
Enumeration date
07/24/2009
Last updated
08/08/2014
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