Individual
SRIRAM PADMANABHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9105 FRANKLIN SQUARE DR, SUITE 209, BALTIMORE, MD 21237-3930
(410) 602-9262
(410) 602-9276
Mailing address
1838 GREENE TREE RD, SUITE 150- LL, BALTIMORE, MD 21208-6391
(410) 602-9262
(410) 602-9276
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0061413
MD
207UN0901X
Nuclear Cardiology Physician
D0061413
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408067000
—
MD
Enumeration date
09/13/2005
Last updated
08/23/2010
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