Individual
SRINIVAS SAMBARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 KENTUCKY AVE, INDIANAPOLIS, IN 46221-2703
(317) 856-1253
Mailing address
3529 CARDINAL WAY, CARMEL, IN 46074-8379
(612) 270-1349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17669
MD
183500000X
Pharmacist
Primary
26022672A
IN
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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