Individual
SRINIVAS VOURGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 970, POB III, CHICAGO, IL 60612-3841
(312) 942-0713
Mailing address
1725 W HARRISON ST, SUITE 970, POB III, CHICAGO, IL 60612-3841
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036140984
IL
208800000X
Urology Physician
271670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03655507
—
NY
Enumeration date
09/24/2007
Last updated
07/15/2016
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