Individual
DR. VISISH MANI SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILION, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILION, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
25MA11385500
NJ
207T00000X
Neurological Surgery Physician
Primary
59581
AZ
207T00000X
Neurological Surgery Physician
Primary
MD476342
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005314
—
AZ
Enumeration date
06/19/2013
Last updated
04/15/2026
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