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Individual

DR. SRINIVAS K HARIACHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14134 NEPHRON LN, HUDSON, FL 34667-6504
(727) 863-5418
(727) 869-8626
Mailing address
14134 NEPHRON LN, HUDSON, FL 34667-6504
(727) 863-5418
(727) 869-8626

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME79049
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007944175
AETNA
01
000810178645
PRINCIPAL
01
01244
UNIVERSAL
01
1018
OPTIMUM
01
10501501
CITRUS HEALTH CARE
01
1856710
CCN
01
222906
WELLCARE
05
260661500
FL
01
271642
AV-MED
01
3399688
GHI
01
390007268
MEDICARE RR
01
4574196
CIGNA
01
593068073
HUMANA MILITARY
01
PRO0057
QUALITY/DELTA
Enumeration date
09/12/2005
Last updated
08/25/2010
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