Individual
NANDAKUMAR SRINIVASAN
Active
Individual
NANDAKUMAR SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24986
OK
207RG0100X
Gastroenterology Physician
104821
MN
207RG0100X
Gastroenterology Physician
53201
MN
207RG0100X
Gastroenterology Physician
Primary
MD60349184
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235270927
—
WA
05
—
ENROLLED
—
MN
01
—
P00849771
MEDICARE, RAILROAD
MN
Enumeration date
02/08/2007
Last updated
07/16/2013
Update your record
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