Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sri Vardhan Reddy Kooturu, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760633457

Dr. Sri Vardhan Reddy Kooturu, MD is an Internal Medicine in Fargo, North Dakota. Qualified in 2003, 23 years ago. Practices with Pro Care Medical Group Inc, a 2-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
23
Licensed in
ND
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-2731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11281 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RL10211 (ND)
Internal Medicine Physician Taxonomy 207R00000X · Licence PT 11281 (ND)

Record details

NPI number1760633457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 1, 2008
Last updated in NPPESNovember 22, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Pro Care Medical Group Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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