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Individual

DR. INDU SRINIVASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 470-5000
(602) 470-5064
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(818) 572-3364

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245000
MA
207RG0100X
Gastroenterology Physician
Primary
22686
MS

Other

Enumeration date
07/08/2010
Last updated
07/21/2022
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