Individual
MR. SRIDHAR GUDAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17703 VIRGINIA AVE, HAGERSTOWN, MD 21740-7850
(240) 420-5310
(240) 420-5356
Mailing address
6075 FALLFISH CT, NEW MARKET, MD 21774-6742
(718) 791-6004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16834
MD
183500000X
Pharmacist
RP439420
PA
Other
Enumeration date
02/17/2010
Last updated
12/21/2022
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