Individual
DR. SRIDEVI MADDINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
73 THOMPSON POYNTER ROAD, SUITE B, LONDON, KY 40741
(606) 878-6899
(606) 862-4899
Mailing address
73 THOMPSON POYNTER ROAD, SUITE B, LONDON, KY 40741
(606) 878-6899
(606) 862-4899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40196
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526210
ANTHEM BLUE CROSS
KY
05
—
7100036690
—
KY
Enumeration date
02/10/2007
Last updated
02/25/2009
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