Individual
SRIKALA SHENBAGAMURTHI PONNURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 N 15TH ST RM 2108, PHILADELPHIA, PA 19102-1101
(215) 762-3808
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD443763
PA
Other
Enumeration date
04/12/2007
Last updated
05/13/2016
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