Govindan, Srini

Govindan, Srini is an sole proprietor health care provider with primary practice located at 40 Medical Park Suite 500, Wheeling WV 26003. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Govindan, Srini can be contacted via phone (304) 242-2503.

Contact Information

Primary practice address
40 Medical Park Suite 500 Wheeling WV 26003
Phone: (304) 242-2503
Fax: (304) 242-2682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9751 West Virginia

Profile Details

NPI number 1013919877
LBN Legal business name Govindan, Srini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Jun 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013919877 NPPES
West Virginia Other 9751 STATE LICENSE NUMBER
West Virginia MEDICAID 0090961000 STATE LICENSE NUMBER
West Virginia MEDICAID 0399064 STATE LICENSE NUMBER

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