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NPI Code Detail

MEDICARE: SRINIVAS MORAMPUDI M.D.

MEDICARE: SRINIVAS MORAMPUDI M.D.
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
1207R00000XInternal Medicine PhysicianMD486126PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00192047OTHERILMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15715390OTHERILBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
495164OTHERILHEALTH ALLIANCE

General Provider Information

NPI Number : 1578596219
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRINIVAS MORAMPUDI M.D.
Provider Business Mailing Address
First Line : 1401 S 31ST ST FL 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-3506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 S 31ST ST FL 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-3506
Country : US
Telephone Number : 888-296-4742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 09/25/2024

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Directions to “ SRINIVAS MORAMPUDI M.D.” Practice Location

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