Kishore K Sriram M.D.

NPI 1710179908 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1710179908
Gender Male
Enumeration Date 08/13/2007
Last Updated 08/29/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
850 N HARRISON ST
WARSAW IN, 46580-3163, US
Phone (574) 267-7169
Fax (574) 269-3995
Business Location
850 N HARRISON ST
WARSAW IN, 46580-3163, US
Phone (574) 267-7169
Fax (574) 269-0597
Toxanomy
Taxonomy Code 390200000X
License State Missouri
License Number 2007016061
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According to our database, Kishore K Sriram M.D. NPI is 1710179908, taxonomy code is 390200000X and license number is 2007016061, license state is located at Missouri. Kishore K Sriram M.D. physically located at 850 N Harrison St, Warsaw IN, 46580-3163. NPI Number Kishore K Sriram M.D. has the Individual type.

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1710179908 NPI number is provided on an as is basis without warranty of any kind. 1710179908 is maintained by the National Plan & Provider Enumeration System. The contents of Kishore K Sriram M.D. are for informational purposes only.