Srikiran Dasari
Student in an Organized Health Care Education/Training Program in Indianapolis, IN. Individual provider (NPI-1).
NPI number1528811403
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1528811403
- Entity type
- Individual (NPI-1)
- Name
- Srikiran Dasari
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1120 W Michigan St # 630Indianapolis, IN 46202-5209
Phone 317-278-2689
Mailing address
1120 W Michigan St # 630Indianapolis, IN 46202-5209
Phone 317-278-2689
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