Individual
DR. SUBRAMANIAN SRINIVAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG., 3RD FLOOR, BALTIMORE, MD 21239-2905
(410) 464-5600
Mailing address
100 WALTER WARD BLVD, STE 100, ABINGDON, MD 21009-1283
(443) 347-4700
(443) 643-4707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D22652
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138821500
—
MD
Enumeration date
04/11/2006
Last updated
10/22/2021
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