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Individual

DR. SRINIVAS GADDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 123-5000
(310) 967-1773
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 967-1884
(310) 967-1773

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2010042347
MO
207RG0100X
Gastroenterology Physician
Primary
A137300
CA

Other

Enumeration date
05/25/2007
Last updated
09/01/2016
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