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Individual

DR. SRIPAL ADITYA PADAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
1603 MORGAN ST, SUITE #2, KEOKUK, IA 52632-3430
(319) 524-6274
(319) 524-9068
Mailing address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4000
(352) 333-5157

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125055831
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME128117
FL

Other

Enumeration date
12/06/2011
Last updated
04/05/2019
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