Individual
SRINI GOVINDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 MEDICAL PARK, SUITE 500, WHEELING, WV 26003
(304) 242-2503
(304) 242-2682
Mailing address
40 MEDICAL PARK, SUITE 500, WHEELING, WV 26003
(304) 242-2503
(304) 242-2682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9751
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090961000
—
WV
05
—
0399064
—
OH
01
—
9751
STATE LICENSE NUMBER
WV
Enumeration date
08/11/2005
Last updated
06/09/2020
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