Individual
DR. SRINIVAS C. CHEVURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 GREATSTONE PT FL 2, LEXINGTON, KY 40504-3274
(859) 323-6211
(859) 257-7706
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 498-8160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37888
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
37888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64069107
—
KY
Enumeration date
08/10/2006
Last updated
10/09/2024
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