1134171200

Everything you always wanted to know about ADA SREENU MD but were afraid to ask.

ADA SREENU MD

You can also download the this 1134171200 data report as csv | excel | json | xml
Provider Last Name Provider First Name Provider Credential
ADA SREENU MD
Gender:
Male
Enumeration date:
2006-05-17
Last update date:
2011-05-10
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
208979500 Medicaid none MO

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine MO 2003023195 Y
208M00000X Hospitalist MO 2003023195 N

Phone Numbers

Type Number
Practice Location Address Telephone Number 6364650544

Addresses

Type Address City State Postal Country
Mailing Address 630 PALISADES VIEW DR EUREKA MO 63025 MO
Practice Location Address 1390 HIGHWAY 61 STE 3200 FESTUS MO 0 MO

Other NPI Records that share a phone number

NPI Name Address State City
1003990821 SREENU ADA,MD,PC
Organization
1390 HIGHWAY 61 STE 3200 MO FESTUS

Other NPI Records that share an address

NPI Name Address State City
1003990821 SREENU ADA,MD,PC
Organization
1390 HIGHWAY 61 STE 3200 MO FESTUS
1639442718 MO HEALTH LLC
Organization
2331 HAMPTON AVE MO SAINT LOUIS