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Individual

SRINATH ADUSUMALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BLVD, 2 EAST, PHILADELPHIA, PA 19104-5127
(215) 615-4949
Mailing address
3400 CIVIC CENTER BLVD, 2 EAST, PHILADELPHIA, PA 19104-5127
(215) 615-4949

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD451306
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD451306
PA

Other

Enumeration date
06/10/2011
Last updated
05/03/2018
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