Organization
SREEKANTH V INDURTI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREEKANTH INDURTI MD (PRES)
(419) 867-3985
Entity
Organization
Contact information
Practice address
218 FOREST GLEN DR, HOLLAND, OH 43528-8195
(419) 885-0200
(419) 885-0200
Mailing address
PO BOX 8440, TOLEDO, OH 43623-0440
(419) 885-0200
(419) 885-0203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
081641
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2655309
—
OH
Enumeration date
04/28/2010
Last updated
05/14/2010
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