Individual
DR. DIVYA SRIDHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 1ST AVE, 7TH FLOOR, DEPARTMENT OF RADIOLOGY, NEW YORK, NY 10016-3295
(212) 263-5898
Mailing address
660 1ST AVE, 7TH FLOOR, DEPARTMENT OF RADIOLOGY, NEW YORK, NY 10016-3295
(212) 263-5898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A104504
CA
2085R0204X
Vascular & Interventional Radiology Physician
60 261168
NY
Other
Enumeration date
10/15/2009
Last updated
05/01/2013
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