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Individual

MR. SREEKANTH CHAVOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-4973
(605) 328-1295
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12232
ND
207R00000X
Internal Medicine Physician
66762
MN
208M00000X
Hospitalist Physician
Primary
12751
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16991
ND
Enumeration date
10/02/2009
Last updated
01/25/2022
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