Individual
SRI HARIKA PRODDATURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 N LAKE DRIVE, MILWAUKEE, WI 53211
(414) 737-6170
Mailing address
2400 W VILLARD AVENUE, MILWAUKEE, WI 53209
(414) 737-6170
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
09/16/2025
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