Individual
SARVALAKSHMI DURISETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
Mailing address
100 MEDICAL DR, PO BOX 311, HANNIBAL, MO 63401-6877
(573) 221-5250
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
2008037611
MO
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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