Individual
DR. GANGA L SRINIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35090759
OH
208000000X
Pediatrics Physician
Primary
35107
SC
208000000X
Pediatrics Physician
ME79315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258191400
—
FL
05
—
2801098
—
OH
Enumeration date
06/18/2006
Last updated
08/09/2019
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