Individual
CHANNAIAH SRIKANTH MYSORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801
(800) 749-5191
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5493
(800) 749-5191
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D77961
MD
Other
Enumeration date
08/31/2010
Last updated
01/06/2022
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