Srivalli Isukapalli, PA-C

NPI #1982380358 in Stamford, Connecticut

Provider Information

NPI Number: 1982380358
Entity Type: Individual
Name: Srivalli Isukapalli, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 22, 2023
Last Updated: Sep 11, 2023

Practice Location

Address: 1177 SUMMER ST FL 5
City: Stamford
State: Connecticut
ZIP Code: 06905-5522
Phone: (203) 353-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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