Individual
DR. BANGALORE S SRIDHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
213781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045698
GHI HMO
NY
01
—
0181480
GHI PPO
NY
05
—
01943466
—
NY
01
—
133693126
TAX ID #
NY
01
—
193679
WELLCARE
NY
01
—
213781
CONNECTICARE
NY
01
—
2386215
AETNA HMO
NY
01
—
58N891
EMPIRE BC STONY POINT
NY
01
—
58N892
EMPIRE BC WEST NYACK
NY
01
—
700608
US FAMILY HEALTH PLAN
NY
01
—
7998110
AETNA PPO
NY
01
—
961385
MVP/TACONIC IPA
NY
01
—
N67450
HEALTHNET
NY
01
—
P00114326
RAILROAD MEDICARE
NY
01
—
P1979240
OXFORD
NY
Enumeration date
01/25/2006
Last updated
01/11/2017
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