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NPI Code Detail

MEDICARE: DR. SREEKANTH VENKATA INDURTI MD

MEDICARE: DR. SREEKANTH VENKATA INDURTI 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
12084P0800XPsychiatry Physician35-081641OH

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 : 1306801956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SREEKANTH VENKATA INDURTI MD
Provider Business Mailing Address
First Line : 900 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-2452
Country : US
Telephone Number : 614-706-2786
Fax Number : 614-505-8343
Provider Business Practice Location Address
First Line : 5151 MONROE ST
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3462
Country : US
Telephone Number : 419-885-0200
Fax Number : 419-885-0203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 03/27/2025

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