Individual
DR. PARTHASARATHY SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 N SEMINARY ST STE 501, GALESBURG, IL 61401-0501
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3112
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036077837
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-077837
—
IL
Enumeration date
01/23/2006
Last updated
01/16/2025
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