Srinivasa, Raghavendra
Srinivasa, Raghavendra is an individual health care provider with primary practice located at 503 N 21St St , Camp Hill PA 17011-2204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Srinivasa, Raghavendra can be contacted via phone (717) 972-7919.Contact Information
Primary practice address
503 N 21St St
Camp Hill PA 17011-2204
Phone: (717) 972-7919
Fax: (717) 763-2272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD072632L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD072632L | Pennsylvania |
Profile Details
| NPI number | 1023070463 |
|---|---|
| LBN Legal business name | Srinivasa, Raghavendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jul 28th, 2026 - about 3 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 | 1023070463 | NPPES |
| Pennsylvania | MEDICAID | 0019273200 | |
| Pennsylvania | Other | 7196404 | |
| Pennsylvania | Other | 001431845 |
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