Sriram Darisetty M.D.

NPI 1053617290 - Internal Medicine - 207R00000X

NPI Details
NPI 1053617290
Gender Male
Enumeration Date 02/06/2011
Last Updated 02/22/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1225 W LAKE ST
MELROSE PARK IL, 60160-4039, US
Phone (708) 344-2161
Fax
Business Location
1342 S FINLEY RD
APT 3O
LOMBARD IL, 60148-4328, US
Phone (630) 599-0610
Fax (630) 599-0610
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125055651
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According to our database, Dr. Sriram Darisetty M.D. NPI is 1053617290, taxonomy code is 207R00000X and license number is 125055651, license state is located at Illinois. Sriram Darisetty M.D. physically located at 1225 W Lake St, Melrose Park IL, 60160-4039. NPI Number Sriram Darisetty M.D. has the Individual type.

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1053617290 NPI number is provided on an as is basis without warranty of any kind. 1053617290 is maintained by the National Plan & Provider Enumeration System. The contents of Sriram Darisetty M.D. are for informational purposes only.