Individual
SRINIVAS RAO DURSHANAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 643-7777
Mailing address
2902 W LAKE TRAIL CT, DUNLAP, IL 61525-7546
(203) 215-4687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028802
IL
Other
Enumeration date
07/29/2011
Last updated
12/31/2025
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