Organization
ANITHA SRINIVASA, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NESPOR (BUSINESS MANAGER)
(805) 374-9905
Entity
Organization
Contact information
Practice address
425 HAALAND DR, SUITE 103, THOUSAND OAKS, CA 91361-5229
(805) 374-9905
(805) 379-0763
Mailing address
425 HAALAND DR, SUITE 103, THOUSAND OAKS, CA 91361-5229
(805) 374-9905
(805) 379-0763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A66420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A66420A
MEDICARE
CA
Enumeration date
11/04/2008
Last updated
11/04/2008
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