Individual
SRI KANTH DOMMETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-3901
(859) 323-2222
(859) 323-5090
Mailing address
7403 WURZBACH RD APT 348, SAN ANTONIO, TX 78229-3841
(210) 993-6387
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
BP10072981
TX
2085R0202X
Diagnostic Radiology Physician
Primary
56627
KY
2085R0202X
Diagnostic Radiology Physician
BP10072981
TX
Other
Enumeration date
10/14/2020
Last updated
08/24/2022
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