Provider / Organization | NPI | Date Certified |
---|---|---|
HARSHA SAI SREEMANTULA | 1942871678 | 2021-07-12 |
Harsha Sai Sreemantula is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942871678. Registration indicates Harsha Sai Sreemantula is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Harsha Sai Sreemantula MD |
Practice Office Address | 1500 LANSDOWNE AVE DARBY, PA US |
Practice Office Telephone | 6102374000 |
Mailing Address | 30-22 REVERE RD DREXEL HILL, PA 190265377 US |
Business Telephone | 6102359053 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | MT223105
PA |