Srisai P C
NPI #1609019900 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1609019900
- Entity Type
- Organization
- Organization Name
- Srisai P C
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 16, 2009
- Last Updated
- Mar 30, 2017
Practice Location
- Address
- 7972 WEST JEFFERSON BLVD
- Address 2
- SUITE A
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4140
- Phone
- (260) 459-1780
Authorized Official
- Name
- ANURADHA KOLLIPARA, M.D.
- Title
- OWNER
- Phone
- (260) 459-1780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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