Individual
HARSHA SAI SREEMANTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(610) 237-4000
Mailing address
1367 STEWARTSTOWN RD APT S06, MORGANTOWN, WV 26505-8047
(610) 235-9053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35103
MS
Other
Enumeration date
07/03/2021
Last updated
07/16/2025
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