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Individual

SHYAM SRINIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 PASTEUR DR, SUITE 200, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, SUITE 200, STANFORD, CA 94305-2200

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
C139917
CA

Other

Enumeration date
07/29/2006
Last updated
06/15/2021
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