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Organization

EREN AND ATLURI, MDS,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SRIDHAR ATLURI MD (PARTNER)
(800) 799-5916
Entity
Organization

Contact information

Practice address
8109 RITCHIE HWY, PASADENA, MD 21122-6917
(410) 768-3936
(410) 766-6683
Mailing address
PO BOX 96, GLEN BURNIE, MD 21060-0096
(800) 799-5916
(410) 309-0113

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
244700200
MD
05
920900000
MD
Enumeration date
04/02/2007
Last updated
01/21/2010
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