Individual
RAMACHANDRAN SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
941 S ATLANTIC BLVD, SUITE #101, MONTEREY PARK, CA 91754-4722
(626) 458-8401
(626) 458-5606
Mailing address
941 S ATLANTIC BLVD, SUITE #101, MONTEREY PARK, CA 91754-4722
(626) 458-8401
(626) 458-5606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A25280
CA
207R00000X
Internal Medicine Physician
A25280
CA
207RR0500X
Rheumatology Physician
Primary
A25280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A252800
—
CA
Enumeration date
08/06/2007
Last updated
04/17/2008
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