Individual
DR. ANIRUDDH SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
676 N SAINT CLAIR ST, CHICAGO, IL 60611-2927
(608) 960-1146
Mailing address
1710 LEGACY LN, MADISON, WI 53719-4553
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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