Individual
RAJIV M NAVAL SRINIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 GLENDALE DRIVE, SUITE 1, MANCHESTER, KY 40962
(606) 599-2508
(606) 599-2507
Mailing address
65 GLENDALE DRIVE, SUITE #1, GLENDALE MEDICAL CARE, MANCHESTER, KY 40962
(606) 599-2508
(606) 599-2507
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
207R00000X
Internal Medicine Physician
Primary
38046
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64068075
—
KY
Enumeration date
10/24/2006
Last updated
03/10/2011
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