Individual
DR. SRINATH SAMUDRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 E ARTESIA ST STE 220, POMONA, CA 91767-2921
(909) 865-1020
(909) 865-1202
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G83088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G830880
—
CA
Enumeration date
06/09/2006
Last updated
09/13/2018
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