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Individual

SRINIVAS ANNAMRAJU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
717 E PITTSBURGH ST, GREENSBURG, PA 15601-2636
(724) 832-8004
(724) 837-1870
Mailing address
717 E PITTSBURGH ST, GREENSBURG, PA 15601-2636
(724) 832-8004
(724) 837-1870

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD044300L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015363550001
PA
01
0784304
BS
PA
01
300055885
RR MED
PA
Enumeration date
10/11/2005
Last updated
07/15/2022
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