Individual
SIVA KUMAR SRIPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4800 S SAGINAW ST, SUITE 1815, FLINT, MI 48507-2677
(810) 275-9152
(810) 213-0228
Mailing address
4800 S SAGINAW ST STE 1815, FLINT, MI 48507-2677
(810) 275-9152
(810) 213-0228
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101016685
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
5101016685
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
5101016685
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
5101016685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4828649-11
—
MI
05
—
4828658-11
—
MI
01
—
556314344
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/10/2006
Last updated
01/26/2024
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