Devanathan, Srinivasan
Devanathan, Srinivasan is an individual health care provider with primary practice located at 1818 Carew St Ste 240 , Fort Wayne IN 46805-4764. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Devanathan, Srinivasan can be contacted via phone (260) 266-5260.Contact Information
Primary practice address
1818 Carew St Ste 240
Fort Wayne IN 46805-4764
Phone: (260) 266-5260
Fax: (260) 458-5913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01059028A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01059028 | Indiana |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 01059028A | Indiana |
Profile Details
| NPI number | 1104874452 |
|---|---|
| LBN Legal business name | Devanathan, Srinivasan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 4th, 2026 - about 2 months ago |
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 | 1104874452 | NPPES |
| Indiana | MEDICAID | 200481860 | |
| Indiana | Other | P00867128 | |
| Indiana | Other | 000000670561 |
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