Individual
DR. SRIRAM VIJAYAPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(152) 707-8484
(215) 707-3946
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-3411
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD484939
PA
Other
Enumeration date
08/01/2023
Last updated
06/06/2024
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