Provider Demographics
NPI:1811083488
Name:RISHI & SRIKANTH P A
Entity type:Organization
Organization Name:RISHI & SRIKANTH P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SRIKANTH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMACHANDRUNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-917-6263
Mailing Address - Street 1:PO BOX 221078
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40252-1078
Mailing Address - Country:US
Mailing Address - Phone:321-917-6263
Mailing Address - Fax:321-396-6916
Practice Address - Street 1:5950 SARATOGA BLVD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:321-317-9263
Practice Address - Fax:321-396-6916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty