Individual
DR. SRINIDHI RAGHAVENDRA VITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6000
Mailing address
3545 JASMINE CIR, SAN JOSE, CA 95135-2368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-176435
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
95001576
CA
Other
Enumeration date
07/29/2021
Last updated
06/02/2022
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