Individual
SRINATH KRISHNAMACHARY TAMIRISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(720) 644-9355
(720) 523-1654
Mailing address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(720) 644-9355
(720) 523-1654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N7981
TX
207RN0300X
Nephrology Physician
Primary
N7981
TX
Other
Enumeration date
06/06/2007
Last updated
11/15/2024
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