Individual
MR. SREENIVASA S MOORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9752 COLONIAL DRIVE, CARMEL, IN 46032
(317) 337-0078
Mailing address
9752 COLONIAL DRIVE, CARMEL, IN 46032
(317) 337-0078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01026011A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01026011A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01026011A
IN
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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