Individual
SRINIVASA REDDY KAMATAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39277
SC
207R00000X
Internal Medicine Physician
4301103554
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301103554
MI
Other
Enumeration date
06/30/2013
Last updated
08/15/2023
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