Individual
SRINIVAS ATTANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 OLD CAMP RD STE 210, THE VILLAGES, FL 32162-5605
(352) 751-3356
(352) 751-3359
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME90705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11171085
CAQH
FL
01
—
1410505
CIGNA
FL
01
—
269859500
MEDICAID GROUP
FL
05
—
271654200
—
FL
01
—
48159
BCBS OF FL
FL
01
—
77940
MEDICARE GROUP ID
FL
01
—
CF1416
MEDICARE RR GROUP
FL
01
—
ME90705
STATE LICENSE NUMBER
FL
01
—
P00152441
MEDICARE RR
FL
Enumeration date
11/29/2005
Last updated
10/13/2009
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