Organization
PADMASHRI SRINIVASA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTI CHALLI (OFFICE MANAGER)
(650) 766-9338
Entity
Organization
Contact information
Practice address
175 N JACKSON AVE STE 209, SAN JOSE, CA 95116-1909
(650) 766-9338
(408) 516-9377
Mailing address
14067 APRICOT HL, SARATOGA, CA 95070-5614
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A110096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A110096
MEDICAL LICENSE
CA
Enumeration date
08/07/2017
Last updated
08/07/2017
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