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1528487071
PRAVEEN SRIDHAR
SALT LAKE CITY, UT
NPI
1528487071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: UT 12058337-1205)
Enumeration Date
2014-04-14
Last Update Date
2021-05-31
Business Address
PRAVEEN SRIDHAR M.D.
30 N 1900 E
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-4222
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Mailing Address
PRAVEEN SRIDHAR M.D.
30 N 1900 E
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-4222
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