Individual
VIJAY KRISHNAKUMAR SRINIVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
559 OLD STATE ROUTE 74, CINCINNATI, OH 45244-1518
(513) 732-2820
(513) 732-2814
Mailing address
5400 DUPONT CIRCLE, SUITE A, MILFORD, OH 45154
(513) 576-7700
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.095716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106089
—
OH
Enumeration date
01/28/2008
Last updated
08/13/2013
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