Banuru, Sridhar
Banuru, Sridhar is an individual health care provider with primary practice located at 1138 N Elm St , Henderson KY 42420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Banuru, Sridhar can be contacted via phone (270) 827-8811.Contact Information
Primary practice address
1138 N Elm St
Henderson KY 42420
Phone: (270) 827-8811
Fax: (270) 827-1221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01055614A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01055614A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 39180 | Kentucky |
Profile Details
| NPI number | 1649244781 |
|---|---|
| LBN Legal business name | Banuru, Sridhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Dec 8th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649244781 | NPPES |
| Kentucky | MEDICAID | 64107493 | |
| Kentucky | MEDICAID | 200519660 |
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