Organization
A R SRIKANTIAH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKKIHEBBAL R SRIKANTIAH (OWNER)
(740) 432-7319
Entity
Organization
Contact information
Practice address
9884 CADIZ RD, CAMBRIDGE, OH 43725-9633
(740) 432-7319
(740) 432-7310
Mailing address
9884 CADIZ RD, CAMBRIDGE, OH 43725-9633
(740) 432-7319
(740) 432-7310
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35040065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118077
ANTHEM
—
05
—
0316518
—
OH
Enumeration date
08/22/2007
Last updated
10/20/2011
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