Most Relevant Information
Provider Data
| NPI Number: | 1003308925 |
| Provider Name: | SRIKAR VEGESNA |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MD475299 |
Most Important Dates
| Enumeration Date: | 06/06/2018 |
| Last Updated: | 02/14/2024 |
Provider Practice Location
2118 COTTMAN AVE
PHILADELPHIA
PA
191491133
Practice Location Phone/Fax
| Phone: | 2153423020 |
| Fax: | 2153423653 |
Provider Mailing Location
3500 N BROAD ST RM 1A
PHILADELPHIA
PA
191404106
Provider Mailing Phone/Fax
| Phone: | 2159269019 |
| Fax: |
Suggested EMR
Family Practice EMR