NPI 1003098237
Srinivas J. Ivatury, MD
Practice location
- Address
- 1 Medical Center Dr Colon & Rectal Surgery Department, Lebanon, NH 03756-1000
- Phone
- (603) 650-8113
- Fax
- (603) 650-8030
- Mailing address
- 1 Medical Center Dr Department of Colon & Rectal Surgery, Lebanon, NH 03756-1000
Registered specialties (2)
Colon & Rectal Surgery Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1003098237
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Nov 2007
- Record last updated
- 21 Aug 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.