Individual
DR. SRINIVAS VALLAPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N RITTER AVE, SUITE 520, INDIANAPOLIS, IN 46219-3052
(317) 355-1234
(317) 355-1505
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RC0000X
Cardiovascular Disease Physician
01057417A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01057417A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200426700A
—
IN
01
—
5695282
AETNA
IN
01
—
P01191747
RR MEDICARE PTAN
IN
Enumeration date
07/19/2005
Last updated
06/14/2021
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