Individual provider · NPI-1

Teja Srinivas Niruogi, MD

Family Medicine · East Liverpool, OH

NPI number1801451315
StatusActive
Last updated in NPPESMay 9, 2019

Details

NPI
1801451315
Entity type
Individual (NPI-1)
Name
Teja Srinivas Niruogi
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 9, 2019
Last updated
May 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine57.248369OHYes

Practice location

425 W 5th St
East Liverpool, OH 43920-2405

Phone 330-386-2793

Mailing address

4779 Galton Ct
Columbus, OH 43220-3213

Phone 312-509-1371

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