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NPI Code Detail

MEDICARE: SRIDHAR H DASARI MD

MEDICARE: SRIDHAR H DASARI MD
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
1207RP1001XPulmonary Disease Physician204023MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912991068
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRIDHAR H DASARI MD
Provider Business Mailing Address
First Line : 360 BROCKTON AVE
Second Line :
City : ABINGTON
State : MA
Zip : 02351-2186
Country : US
Telephone Number : 508-941-7211
Fax Number : 781-871-4375
Provider Business Practice Location Address
First Line : 360 BROCKTON AVE
Second Line :
City : ABINGTON
State : MA
Zip : 02351-2186
Country : US
Telephone Number : 508-941-7211
Fax Number : 781-871-4375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 11/23/2016

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Directions to “ SRIDHAR H DASARI MD” Practice Location

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