Individual
SRINIVAS BHADRIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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