Individual
PATTANAM DORAI SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4738 GRAND BLVD STE G, NEW PORT RICHEY, FL 34652-5170
(727) 474-6507
(765) 450-6161
Mailing address
3740 EMBASSY CIR, PALM HARBOR, FL 34685-1016
(727) 474-6507
(765) 450-6161
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME124951
FL
208VP0014X
Interventional Pain Medicine Physician
ME124951
FL
Other
Enumeration date
05/25/2006
Last updated
05/07/2025
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