Individual
DR. SEETHARAMAIAH ATLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 482-1004
(260) 483-7894
Mailing address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 482-1004
(260) 483-7894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01031345A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082095
ANTHEM BCBS
IN
05
—
100322950A
—
IN
01
—
1052
PHP
IN
Enumeration date
07/01/2005
Last updated
04/08/2014
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