Individual
SRIKANTH EATHIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, SUITE 900, PORT ORANGE, FL 32129-2300
(203) 354-9541
Mailing address
3635 S CLYDE MORRIS BLVD, SUITE 900, PORT ORANGE, FL 32129-2300
(203) 354-9541
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME117329
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
050608
CT
Other
Enumeration date
02/01/2011
Last updated
10/16/2014
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