Individual
SREE SRUTHI KOWSIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0386
(302) 733-5640
Mailing address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0386
(302) 733-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301109325
MI
207R00000X
Internal Medicine Physician
Primary
C1-0013282
DE
208M00000X
Hospitalist Physician
C1-0013282
DE
Other
Enumeration date
06/05/2013
Last updated
09/03/2019
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