Individual
MR. SRIVATSA CHIHNA KOWSIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
15059 N SCOTTSDALE RD STE 600, SCOTTSDALE, AZ 85254-2685
(602) 778-3601
(928) 432-7001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007070
MI
363A00000X
Physician Assistant
C0009591
MD
363A00000X
Physician Assistant
Primary
C5-0001060
DE
Other
Enumeration date
08/19/2014
Last updated
01/13/2025
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