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Individual

SRIDHARA SASTRY YADDANAPUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
C1-0012524
DE
2084N0400X
Neurology Physician
Primary
D0101246
MD
2084N0400X
Neurology Physician
MD455534
PA

Other

Enumeration date
03/02/2010
Last updated
09/25/2024
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