Individual
SRIKANTH REDDY KASULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1236 E RUSHOLME ST, STE 300, DAVENPORT, IA 52803-2434
(563) 324-2992
Mailing address
1236 E RUSHOLME ST, STE 300, DAVENPORT, IA 52803-2434
(563) 324-2992
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
43330
IA
207RI0011X
Interventional Cardiology Physician
Primary
MD-43330
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2009
Last updated
02/10/2021
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