Sathiyamoorthy, Srividya

Sathiyamoorthy, Srividya is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Sathiyamoorthy, Srividya can be contacted via phone (410) 955-1180.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X D74187 Maryland

Profile Details

NPI number 1649418237
LBN Legal business name Sathiyamoorthy, Srividya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Mar 1st, 2013 - about 13 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649418237 NPPES
Maryland MEDICAID 055642400

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