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NANDAKUMAR SRINIVASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, MS:C3-GAS, SEATTLE, WA 98101-2756
(206) 223-2319
(206) 341-1188
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811

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
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