Individual
SRINIVAS ADDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9135 PISCATAWAY RD STE 210, CLINTON, MD 20735-2542
(301) 868-1380
Mailing address
9135 PISCATAWAY RD STE 210, CLINTON, MD 20735-2542
(301) 868-1380
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0047943
MD
Other
Enumeration date
11/03/2005
Last updated
02/23/2012
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