Individual
DR. JAYARAM SRIVATSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2942
(559) 448-4500
Mailing address
8152 N 9TH ST APT 105, FRESNO, CA 93720-2274
(719) 251-9403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A112190
CA
207L00000X
Anesthesiology Physician
MD-44038
IA
207LP3000X
Pediatric Anesthesiology Physician
A112190
CA
207LP3000X
Pediatric Anesthesiology Physician
D0076331
MD
Other
Enumeration date
03/27/2006
Last updated
02/11/2023
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