Individual
SANKAR SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
Mailing address
102 PHYSICIANS BLVD, GLASGOW, KY 42141-1299
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25878
AZ
207RH0003X
Hematology & Oncology Physician
Primary
TP505
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401414
—
AZ
05
—
7100072700
—
KY
Enumeration date
09/12/2005
Last updated
12/11/2013
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