Susarla, Srinivas M
Susarla, Srinivas M is an individual health care provider with primary practice located at 4800 Sand Point Way Ne Seattle Children'S Hospital, Seattle WA 98105-3901. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Susarla, Srinivas M can be contacted via phone (206) 987-5223.Contact Information
Primary practice address
4800 Sand Point Way Ne Seattle Children'S Hospital
Seattle WA 98105-3901
Phone: (206) 987-5223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DF60668028 | Washington |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD60628000 | Washington |
Profile Details
| NPI number | 1659562775 |
|---|---|
| LBN Legal business name | Susarla, Srinivas M |
| Credentials | MD, DMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 28th, 2017 - about 9 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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