Individual
SARUP S. SRIDHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 413-4844
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 536-3600
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
12512523-1205
UT
Other
Enumeration date
07/30/2021
Last updated
10/14/2021
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