NPI 1003137126

Mahesh Kumar Sreedasyam, MD

Practitioner Family Medicine Physician Bloomington, IN

Practice location

Address: 995 S Clarizz Blvd, Bloomington, IN 47401
Phone: (812) 353-3060
Fax: (812) 353-3070
Mailing address: 995 S Clarizz Blvd, Bloomington, IN 47401-5588

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 11015332A (IN)

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Registry record

NPI: 1003137126
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2010
Record last updated: 23 Dec 2020

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.