Individual
MR. SRIRAMLOO KESARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
173 STATE ST, MADISON, WV 25130
(304) 369-4290
(304) 369-4289
Mailing address
173 STATE ST, MADISON, WV 25130
(304) 369-4290
(304) 369-4289
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12006
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049010000
—
WV
Enumeration date
05/30/2006
Last updated
07/08/2007
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