Individual
SREEKANTH KARANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 RIVERBEND DR FL 3, SPRINGFIELD, OR 97477-8800
(541) 484-4332
(541) 242-6770
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01059598A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
MD189902
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
01059598A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200490850
—
IN
05
—
2373168
—
OH
01
—
P00783754
RAILROAD
IN
Enumeration date
02/01/2006
Last updated
12/17/2020
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