Individual
DR. KALAVATHY K SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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