# PRATIBHA SRINIVASAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811907801
- **Gender:** F
- **Credential:** M.S. CCC-A, CERT AVT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2201000379 | VA | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 140801 | PROVIDER ID - ANTHEM | VA |
| 01 | — | 208069 | PROVIDER ID - ANTHEM | VA |
| 01 | — | 69161 | PROVIDER ID/OPTIMA HEALTH | VA |