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NPI Code Detail

MEDICARE: SRIRAM PATHURI

MEDICARE:   SRIRAM  PATHURI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417898271
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRIRAM PATHURI
Provider Business Mailing Address
First Line : 1 HURLEY PLAZA
Second Line :
City : FLINT
State : MI
Zip : 48503
Country : US
Telephone Number : 810-262-9000
Fax Number :
Provider Business Practice Location Address
First Line : 1 HURLEY PLAZA
Second Line :
City : FLINT
State : MI
Zip : 48503
Country : US
Telephone Number : 810-262-9000
Fax Number : 810-262-7245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2026
Last Update Date : 04/10/2026

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Directions to “ SRIRAM PATHURI ” Practice Location

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