Individual
SRINIVAS CHUNDURI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6223
(715) 839-5175
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717-1962
(608) 829-5247
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
N/A
WI
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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