Individual
SRINIVASAN PERIYANAYAGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 W 17TH ST, HOPKINSVILLE, KY 42240-1914
(270) 886-1944
(270) 886-2372
Mailing address
390 W 17TH ST, HOPKINSVILLE, KY 42240-1914
(270) 886-1944
(270) 886-2372
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24512
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64245129
—
KY
Enumeration date
09/05/2006
Last updated
07/08/2007
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