Individual
SREEKIRAN THOTAKURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
201 HIGHLAND ST, CLINTON, MA 01510-1037
(978) 466-4169
(978) 466-4164
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01079205A
IN
207Q00000X
Family Medicine Physician
Primary
281585
MA
207Q00000X
Family Medicine Physician
35.129874
OH
207Q00000X
Family Medicine Physician
4301111497
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124788
—
OH
Enumeration date
03/25/2014
Last updated
11/23/2020
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