Individual
DR. AVINASH MANICKAM SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 243-7778
Mailing address
24 WHITE FAWN DR, ASHEVILLE, NC 28801-4126
(508) 733-3730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-02308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PE-P4DQ1NAN8
—
NC
Enumeration date
03/25/2015
Last updated
08/01/2019
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