Individual
SRINIVASA NITHIN GOPALSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 7TH AVE, NEW YORK, NY 10001-6708
(212) 604-1701
(212) 604-1750
Mailing address
275 7TH AVE, NEW YORK, NY 10001-6708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315363
NY
207RI0200X
Infectious Disease Physician
Primary
315363
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
09/01/2022
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