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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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