Individual
RAGHURAMAN SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450A TUCKER DR, MAYSVILLE, KY 41056-9110
(606) 759-0339
(606) 759-0139
Mailing address
450A TUCKER DR, MAYSVILLE, KY 41056-9110
(606) 759-0339
(606) 759-0139
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28708
KY
207RC0000X
Cardiovascular Disease Physician
35077864S
OH
207RI0011X
Interventional Cardiology Physician
Primary
28708
KY
207RI0011X
Interventional Cardiology Physician
35077864S
OH
207UN0901X
Nuclear Cardiology Physician
28708
KY
207UN0901X
Nuclear Cardiology Physician
35077864S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144594
—
OH
05
—
3810020951
—
WV
01
—
6293
KY MEDICARE GRP #
KY
05
—
64287089
—
KY
01
—
9321441
OH MEDICARE GRP #
OH
Enumeration date
03/14/2006
Last updated
10/24/2013
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