Individual
DR. SHANKAR KERALAPURA SRIDHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 HOSPITAL ROAD, EENT CLINIC, FORT GORDON, GA 30905-5650
(706) 787-7822
(706) 787-2666
Mailing address
300 HOSPITAL ROAD, EENT CLINIC, FORT GORDON, GA 30905-5650
(706) 787-7822
(706) 787-2666
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101245003
VA
Other
Enumeration date
07/14/2007
Last updated
06/02/2021
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