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Dr. Sridevi Kanuri, MD
Body Imaging Physician in Mishawaka, Indiana
NPI 1740506229

Sridevi Kanuri is a Body Imaging Physician based in Mishawaka, IN and is specialized in Body Imaging. Sridevi Kanuri practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Sridevi Kanuri is 1740506229 and holds a License No. 036123242 (Indiana).

The current practice location address for Sridevi Kanuri is 620 W Edison Rd, Mishawaka, IN and can be reached out via phone at 574-258-1100 and via fax at 574-258-1101.

Location: 620 W Edison Rd, Mishawaka, IN, 46545-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740506229
Provider Name
Sridevi Kanuri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
620 W Edison Rd, Mishawaka, IN, 46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
Provider Enumeration Date
04/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201021510 05 IN
institution
Provider Business Practice Location Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider Business Mailing Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
01069685A (Indiana)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036123242 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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