Individual
SRIVIDYA SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 S GRANGE AVE, STE 401, SIOUX FALLS, SD 57105-0410
(605) 328-8120
(605) 328-8121
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
44209-20
WI
207RI0200X
Infectious Disease Physician
Primary
7445
SD
Other
Enumeration date
01/23/2009
Last updated
12/01/2011
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