Sudarsana Bharadwaj Srivangipuram, MD
Internal Medicine in Muncie, IN. Individual provider (NPI-1).
NPI number1982138988
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1982138988
- Entity type
- Individual (NPI-1)
- Name
- Sudarsana Bharadwaj Srivangipuram
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2017
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01083952A | IN | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 01083952A | IN | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 01083952A | IN |
Practice location
2525 W University AveSuite 401 Iu Health Ball Memorial Hospital,
Muncie, IN 47303
Phone 765-747-4306
Mailing address
2525 W University AveSuite 401 Iu Health Ball Memorial Hospital,
Muncie, IN 47303
Phone 765-747-4306
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