Organization
NEUROSURGERY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASAN PERIYANAYAGAM MD (OWNER)
(270) 886-1944
Entity
Organization
Contact information
Practice address
390 W 17TH ST, HOPKINSVILLE, KY 42240-1914
(270) 886-1944
(270) 886-2372
Mailing address
390 W 17TH ST, HOPKINSVILLE, KY 42240-1914
(270) 886-1944
(270) 886-2372
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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