Individual
DR. SRILATHA KANUMURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 336-0124
Mailing address
5354 AMBROSIA DR, ELLICOTT CITY, MD 21043-6862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0064539
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MD
05
—
4001
—
PA
Enumeration date
06/28/2006
Last updated
11/19/2025
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