Individual
DR. SRINIVASA EDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 AMSTERDAM AVE, NEW YORK, NY 10023-7410
(212) 523-2211
Mailing address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
214817
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
214817
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
214817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207954
—
NY
Enumeration date
10/25/2005
Last updated
04/11/2023
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