Individual
SRINIVASAN SATTIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 VILLAGE SQUARE PKWY STE 204, FLEMING ISLAND, FL 32003-6409
(904) 224-5185
(904) 376-3202
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 720-0599
(904) 376-4036
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME131129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02022100
—
FL
05
—
298041000
—
MN
Enumeration date
02/13/2006
Last updated
04/30/2024
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