Individual
JAYAKUMAR SREENIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, MSC
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128-1471
(408) 947-2500
Mailing address
2105 FOREST AVE, SAN JOSE, CA 95128-1471
(408) 947-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68909
CT
207RC0000X
Cardiovascular Disease Physician
Primary
A196269
CA
Other
Enumeration date
07/23/2016
Last updated
10/23/2024
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