Individual
DR. SRINIVAS KIRAN TANTRAVAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF UTAH HOSPITAL, 50 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
2000 CIRCLE OF HOPE DR STE 2100, HUNTSMAN CANCER INSTITUTE, THE UNIVERSITY OF UTAH, SALT LAKE CITY, UT 84112-5550
(801) 585-0120
(801) 585-0124
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
7478477-1205
UT
Other
Enumeration date
02/11/2009
Last updated
12/16/2021
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