Dr. Srikanth Seethala, M.D, MPH
Internal Medicine, Advanced Heart Failure and Transplant Cardiology in Boise, ID. Individual provider (NPI-1).
NPI number1982803292
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1982803292
- Entity type
- Individual (NPI-1)
- Name
- Dr. Srikanth Seethala
- Credential
- M.D, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2007
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0001X | Internal Medicine, Advanced Heart Failure and Transplant Cardiology | MC-2847 | ID | Yes |
| 207RA0001X | Internal Medicine, Advanced Heart Failure and Transplant Cardiology | 46700 | KY | |
| 208M00000X | Hospitalist | MD2012-0465 | NM |
Practice location
6140 W Curtisian Ave Ste 120Boise, ID 83704-8880
Phone 208-302-0000 · Fax 208-302-0220
Mailing address
Po Box 190930Boise, ID 83719-0930
Phone 208-367-5170 · Fax 208-367-5180
Other practice locations
3 Audubon Plaza Dr Ste 110
Louisville, KY 40217-1363
Louisville, KY 40217-1363
Phone 502-636-8266
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