Individual
SUDARSHAN SRIVATSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13315183-1205
UT
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
DR.0075737
CO
Other
Enumeration date
03/28/2019
Last updated
09/30/2025
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