Individual
DASARATHY SRINIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 GAUSE BLVD STE 370, SLIDELL, LA 70458-2998
(985) 280-4600
(985) 280-4642
Mailing address
1051 GAUSE BLVD STE 370, SLIDELL, LA 70458-2998
(985) 280-4600
(985) 280-4642
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
05745R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1323641
—
LA
Enumeration date
07/08/2006
Last updated
01/22/2020
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