Individual
DR. MANISHA RAGHAVAN SRINIVASA
Active
Individual
DR. MANISHA RAGHAVAN SRINIVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81391
GA
207R00000X
Internal Medicine Physician
Primary
MD455622
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
455622
LICENSE NUMBER
PA
01
—
81391
LICENSE NUMBER
GA
Enumeration date
06/27/2012
Last updated
10/23/2018
Update your record
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