Srinivasan S Purighalla

NPI 1124007265 - Neurological Surgery - 207T00000X

NPI Details
NPI 1124007265
Enumeration Date 01/16/2006
Last Updated 04/17/2015
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name SRINIVASAN S SRINIVASAN
Position PRESIDENT
Phone (309) 517-3775
Fax (309) 517-3625
Practice Location
616 35TH AVE STE 1
MOLINE IL, 61265-6158, US
Phone (309) 517-3775
Fax (309) 517-3625
Business Location
616 35TH AVE STE 1
MOLINE IL, 61265-6158, US
Phone (309) 517-3775
Fax (309) 517-3625
Toxanomy
Taxonomy Code 207T00000X
License State Illinois
License Number 036111101
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According to our database, Srinivasan S Purighalla NPI is 1124007265, taxonomy code is 207T00000X and license number is 036111101, license state is located at Illinois. Srinivasan S Purighalla physically located at 616 35th Ave Ste 1, Moline IL, 61265-6158. NPI Number 1033115704 has the healthcare provider type.

1124007265 NPI number is provided on an as is basis without warranty of any kind. 1124007265 is maintained by the National Plan & Provider Enumeration System. The contents of Srinivasan S Purighalla are for informational purposes only.