Mahesh Kumar Sreedasyam
Family Doctor
995 S Clarizz Blvd
Bloomington
, Indiana 47401
Mahesh Kumar Sreedasyam
Family Doctor
995 S Clarizz Blvd
Bloomington
, Indiana 47401
(812) 353-3070
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Mahesh Kumar Sreedasyam
- 995 S Clarizz Blvd
- Bloomington, IN
- Zip : 47401-5588
- Fax : (812) 353-3070
- Phone : (812) 353-3060
Second Address
- Mahesh Kumar Sreedasyam
- 995 S Clarizz Blvd
- Bloomington, IN
- Zip : 47401
- Fax : (812) 353-3070
- Phone : (812) 353-3060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 11015332A | IN |
National Provider Identifier
| NPI | 1003137126 |
|---|---|
| Provider Name | Mahesh Kumar Sreedasyam |
| First Address | Bloomington, IN 47401-5588 |
| Second Address | Bloomington, IN 47401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2010 |
| Last Update Date | 23/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.