Provider Demographics
NPI:1700854528
Name:CHITTURI, SRIHARI (MD)
Entity Type:Individual
Prefix:
First Name:SRIHARI
Middle Name:
Last Name:CHITTURI
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 1:310 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1204
Mailing Address - Country:US
Mailing Address - Phone:606-224-3993
Mailing Address - Fax:
Practice Address - Street 1:310 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1204
Practice Address - Country:US
Practice Address - Phone:606-224-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN045080L207L00000X
KY39390207L00000X
FLME78349207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F19747Medicare UPIN