Individual
DIVYASWATHI CITLA SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 512-10, LITTLE ROCK, AR 72202-3500
(501) 364-2270
(501) 364-2295
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-12928
AR
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
E-12928
AR
Other
Enumeration date
07/28/2014
Last updated
08/18/2020
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