Individual
DR. SRINIVASAN DHATREECHARA N
Active
Individual
DR. SRINIVASAN DHATREECHARA N
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301073450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-30174
PHP/IBA
MI
05
—
4212136
—
MI
01
—
P106615
BCN
MI
01
—
SD073450
BCBS
MI
Enumeration date
09/22/2006
Last updated
07/08/2007
Update your record
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