Individual
PRIYANKA SRINIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TRILLIUM WAY STE 306, CORBIN, KY 40701
(606) 526-4070
(606) 526-4072
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301106258
MI
207R00000X
Internal Medicine Physician
BP10036943
TX
208M00000X
Hospitalist Physician
27438
NE
208M00000X
Hospitalist Physician
4301106258
MI
208M00000X
Hospitalist Physician
Primary
TP736
KY
Other
Enumeration date
07/30/2010
Last updated
06/14/2018
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