Individual
ANANTH SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
(405) 945-5467
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 949-3349
(405) 945-5467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34865
OK
208600000X
Surgery Physician
54416
AZ
Other
Enumeration date
08/05/2010
Last updated
07/29/2019
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