Sattiraju, Srinivasan
Sattiraju, Srinivasan is an individual health care provider with primary practice located at 2310 Village Square Pkwy Ste 204 , Fleming Island FL 32003-6409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sattiraju, Srinivasan can be contacted via phone (904) 224-5185.Contact Information
Primary practice address
2310 Village Square Pkwy Ste 204
Fleming Island FL 32003-6409
Phone: (904) 224-5185
Fax: (904) 376-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME131129 | Florida |
Profile Details
| NPI number | 1215900808 |
|---|---|
| LBN Legal business name | Sattiraju, Srinivasan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 30th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215900808 | NPPES |
| Minnesota | MEDICAID | 298041000 | |
| Minnesota | MEDICAID | 02022100 |
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