Individual
SRINIVAS BHADRIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
5501 CABRERA DR STE 303, SUGAR LAND, TX 77479-7264
(281) 456-4040
(281) 456-4040
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
68296
WI
207RP1001X
Pulmonary Disease Physician
N4947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067611
—
WI
05
—
3110116
—
TX
01
—
762945
MEDICARE - CPG
TX
Enumeration date
08/11/2006
Last updated
11/28/2025
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