Provider Demographics
NPI:1346459351
Name:MOTURI, SRICHARAN (MD)
Entity Type:Individual
Prefix:
First Name:SRICHARAN
Middle Name:
Last Name:MOTURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 QUAIL HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5967
Mailing Address - Country:US
Mailing Address - Phone:615-807-4024
Mailing Address - Fax:615-807-4022
Practice Address - Street 1:2010 QUAIL HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5967
Practice Address - Country:US
Practice Address - Phone:615-807-4024
Practice Address - Fax:615-807-4022
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN456032084P0800X, 2084S0012X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4318737OtherBCBS
TN4318737OtherBCBS