Individual
DR. SHRIDHAR VENTRAPRAGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Mailing address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01062767
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200840380
—
IN
05
—
2142945
—
MA
Enumeration date
07/16/2006
Last updated
12/08/2021
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