Individual
SRINIVAS RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4790 BARKLEY CIR, BLDG A, FORT MYERS, FL 33907-7543
(239) 275-8882
(239) 939-1330
Mailing address
4790 BARKLEY CIR, BLDG A, FT MYERS, FL 33907-7543
(239) 275-8882
(239) 939-1330
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME88683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467435867
TRICARE
FL
01
—
226912
STAYWELL
FL
01
—
2355139
UNITED HEALTHCARE
FL
01
—
2499135
GHI
FL
05
—
268296600
—
FL
01
—
292148
AVMED
FL
01
—
3382646
AETNA
FL
01
—
81971
BCBS
FL
01
—
9738143
CIGNA
FL
01
—
P00065871
RAILROAD MEDICARE
FL
Enumeration date
11/21/2005
Last updated
11/27/2023
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