National Provider Identifier
Srikanth Desiraju
Srikanth Desiraju is listed in the NPPES registry with a primary specialty of Physical Therapist in Painted Post, NY and a listed phone number of (770) 639-8302.
Profile Overview
- NPI
- 1407980907
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 15, 2007
- Last Updated
- September 08, 2010
Practice Location
- 22 Dreams Ln N
- Painted Post, NY 14870-9100
Phone: (770) 639-8302
Specialties
- Physical Therapist (225100000X)
- Contractor (171W00000X)
Full Record
- NPI
- 1407980907
- Entity Type
- Individual
- Last Name
- Desiraju
- First Name
- Srikanth
- Mailing Street Address
- 22 Dreams Ln N
- Mailing City
- Painted Post
- Mailing State
- NY
- Mailing ZIP Code
- 14870-9100
- Mailing Country
- US
- Mailing Phone
- (770) 639-8302
- Practice Street Address
- 22 Dreams Ln N
- Practice City
- Painted Post
- Practice State
- NY
- Practice ZIP Code
- 14870-9100
- Practice Country
- US
- Practice Phone
- (770) 639-8302
- Enumeration Date
- March 15, 2007
- Last Updated
- September 08, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Contractor (171W00000X)