Individual
VIJAYA L. SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD, SUITE A440, LEXINGTON, KY 40504-3751
(859) 278-4172
(859) 313-3541
Mailing address
1401 HARRODSBURG RD, SUITE A440, LEXINGTON, KY 40504-3751
(859) 278-4172
(859) 313-3541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33175
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278462
ANTHEM BCBS
—
05
—
64331754
—
KY
Enumeration date
05/03/2006
Last updated
08/20/2007
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