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Individual

DR. KALAVATHY K SRINIVASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, ANN ARBOR, MI 48109-0014
(734) 936-6666
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301038366
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301038366
MI
208000000X
Pediatrics Physician
Primary
4301038366
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
4301038366
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4339618
MI
01
KS038366
BC/BS OF MI
MI
Enumeration date
03/24/2006
Last updated
09/11/2025
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