Individual
DR. SRIKANTH SEETHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, MPH
Contact information
Practice address
6140 W CURTISIAN AVE STE 120, BOISE, ID 83704-8880
(208) 302-0000
(208) 302-0220
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
46700
KY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MC-2847
ID
208M00000X
Hospitalist Physician
MD2012-0465
NM
Other
Enumeration date
07/16/2007
Last updated
07/15/2024
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