Individual
MALORIE LYN SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4940 W CLARK RD STE 100, YPSILANTI, MI 48197-0860
(734) 971-1188
(734) 971-3658
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101267008
VA
207Q00000X
Family Medicine Physician
2015-00635
NC
207Q00000X
Family Medicine Physician
Primary
4301508695
MI
208M00000X
Hospitalist Physician
2015-00635
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
07/27/2023
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