Individual
SRIDHAR BANURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1138 N ELM ST, HENDERSON, KY 42420
(270) 827-8811
(270) 827-1221
Mailing address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-8925
(812) 842-0907
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01055614A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
39180
KY
207RI0011X
Interventional Cardiology Physician
01055614A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200519660
—
IN
05
—
64107493
—
KY
Enumeration date
02/15/2006
Last updated
12/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us