Individual
SHOBA SRIKANTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME90295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269933800
—
FL
01
—
43152X
MEDICARE PTAN
FL
Enumeration date
08/25/2006
Last updated
02/03/2010
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