Individual
DR. SHANTHY SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY HOSPITAL, L8, STONY BROOK, NY 11794-0001
(631) 444-7653
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-7653
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
204343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01958649
—
NY
01
—
562822
EMPIRE BC.BS
NY
01
—
7527146
AETNA
NY
Enumeration date
06/04/2006
Last updated
02/25/2013
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