Individual
NITYASREE SRIALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1830 E MONUMENT ST STE 416, BALTIMORE, MD 21287-0020
(410) 955-5268
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D97123
MD
207RN0300X
Nephrology Physician
Primary
D97123
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2017
Last updated
05/14/2023
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