Provider Demographics
NPI:1285257600
Name:POPURI, SRIKANTH (MD)
Entity type:Individual
Prefix:
First Name:SRIKANTH
Middle Name:
Last Name:POPURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 STANTONSBURG ROAD, SUITE 1AD200
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-847-3898
Mailing Address - Fax:252-847-6255
Practice Address - Street 1:2100 STANTONSBURG ROAD, SUITE 1AD200
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-847-3898
Practice Address - Fax:252-847-6255
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02476207R00000X
NC2023-02476208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine