Individual
SRIDHAR PINNAMANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8136 CENTRALIA CT, STE 103, LEESBURG, FL 34788-3757
(352) 343-7246
(352) 259-8959
Mailing address
8136 CENTRALIA CT, STE 103, LEESBURG, FL 34788-3757
(352) 343-7246
(352) 259-8959
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME100408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553300
—
FL
01
—
47618
BCBS
FL
Enumeration date
05/15/2008
Last updated
03/05/2015
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