Individual
DR. SRIRANGAM PADMANABHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 685-7265
Mailing address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 685-7265
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
7008
NH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
81841
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000140
—
NH
01
—
0103555Y0MA01
ANTHEM
NH
01
—
23-00009
UHC
MA
01
—
23-00146
EVERCARE
MA
01
—
29064
FCHP
MA
01
—
3002621
NHP
MA
01
—
4390814
AETNA
MA
01
—
5149017-001
CIGNA
MH
05
—
6188591
—
MA
01
—
715267
THP
MA
01
—
C66011
HPHC
MA
01
—
J16833
BCBS
MA
Enumeration date
10/03/2005
Last updated
07/09/2007
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