Individual
DR. SHANTHI SRINIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MA 58380
NJ
207RH0003X
Hematology & Oncology Physician
Primary
MD61086048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA58380
LICENSE
NJ
Enumeration date
07/26/2006
Last updated
05/06/2021
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