Individual
SRIVANI CHUNCHULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1007 S POLK ST, MAYSVILLE, MO 64469-4030
(816) 449-2123
(816) 449-2125
Mailing address
1600 E EVERGREEN ST, CAMERON, MO 64429-2400
(816) 632-2101
(816) 649-3383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017022845
MO
207R00000X
Internal Medicine Physician
35.144406
OH
208M00000X
Hospitalist Physician
Primary
35.144406
OH
Other
Enumeration date
06/20/2014
Last updated
05/05/2023
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