Male or Other

Sudarsana B. Srivangipuram MD

Internal Medicine Physician in Muncie, IN(View on Map)

Full Name

Sudarsana Bharadwaj Srivangipuram MD

NPI Number

1982138988

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/17/2017

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01083952A

Contact
Information

Purpose

Mailing
Location

Address

2525 W UNIVERSITY AVE
2525 W UNIVERSITY AVE

City

Muncie
Muncie

State

IN
IN

Postal Code

47303
47303

Country

US
US

Telephone Number

(765) 747-4306
(765) 747-4306

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/15/2022

Provider Address

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