Sreedhar Samudrala M.D

NPI 1083689566 - Family Medicine - 207Q00000X

NPI Details
NPI 1083689566
Gender Male
Enumeration Date 02/20/2006
Last Updated 08/15/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1195 OLD HICKORY BLVD
SUITE 103
BRENTWOOD TN, 37027-4239, US
Phone (615) 373-2000
Fax (615) 891-5001
Business Location
1195 OLD HICKORY BLVD
SUITE 103
BRENTWOOD TN, 37027-4239, US
Phone (615) 373-2000
Fax (615) 523-2900
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 36148
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According to our database, Dr. Sreedhar Samudrala M.D NPI is 1083689566, taxonomy code is 207Q00000X and license number is 36148, license state is located at Tennessee. Sreedhar Samudrala M.D physically located at 1195 Old Hickory Blvd, Brentwood TN, 37027-4239. NPI Number Sreedhar Samudrala M.D has the Individual type.

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1083689566 NPI number is provided on an as is basis without warranty of any kind. 1083689566 is maintained by the National Plan & Provider Enumeration System. The contents of Sreedhar Samudrala M.D are for informational purposes only.