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Individual

SRI KIRAN CHENNUPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1210 S CEDAR CREST BLVD, SUITE 1100, ALLENTOWN, PA 18103-6229
(610) 402-7999
(610) 402-7995
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD431213
PA
207Y00000X
Otolaryngology Physician
MT184710
PA
207YP0228X
Pediatric Otolaryngology Physician
25MA08862500
NJ
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD431213
PA

Other

Enumeration date
12/28/2006
Last updated
02/26/2016
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