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NPI Code Detail

MEDICARE: KEERTHI SRIPATHI MD

MEDICARE: KEERTHI SRIPATHI 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1871278051
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEERTHI SRIPATHI MD
Provider Business Mailing Address
First Line : 2209 GENESEE ST
Second Line :
City : UTICA
State : NY
Zip : 13501-5930
Country : US
Telephone Number : 315-801-8848
Fax Number :
Provider Business Practice Location Address
First Line : 7301 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4100
Country : US
Telephone Number : 607-262-7926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2023
Last Update Date : 06/12/2026

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Directions to “ KEERTHI SRIPATHI MD” Practice Location

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