Individual
SRINIVAS DUVVURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 RALPH PLACE, SUITE 109, STATEN ISLAND, NY 10304-4419
(718) 981-2684
(718) 981-5003
Mailing address
11 RALPH PLACE, SUITE 109, STATEN ISLAND, NY 10304-4419
(718) 981-2684
(718) 981-5003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
192451
NY
207RI0011X
Interventional Cardiology Physician
Primary
192451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01001582
—
NY
01
—
10219P
HIP HEALTHCARE
NY
01
—
4637405
AETNA/US HEALTHCARE
NY
Enumeration date
06/01/2006
Last updated
06/20/2024
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