SRIDEVI KANURI, MD, Diagnostic Radiology MISHAWAKA, IN

Contact Information

SRIDEVI KANURI, MD

620 W EDISON RD
STE 110
MISHAWAKA, IN 46545-2784

Phone: 574-258-1100
Fax: 574-258-1101
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X

Indicates primary specialty

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NPI Profile & details for SRIDEVI KANURI · (Female)

NPI Number	`1740506229`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/09/2010
Last updated	08/24/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	IL License # 036123242 IN License # 01069685A IN Medicaid 201021510
Hospital affiliation(s)	COMMUNITY HOSPITAL OF BREMEN INC - (Critical Access) 1020 HIGH RD BREMEN, IN 46506 ELKHART GENERAL HOSPITAL - (Acute Care) 600 E BLVD ELKHART, IN 46514 IU HEALTH GOSHEN HOSPITAL - (Acute Care) 200 HIGH PARK AVE GOSHEN, IN 46526 MEMORIAL HOSPITAL OF SOUTH BEND - (Acute Care) 615 N MICHIGAN ST SOUTH BEND, IN 46601

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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