Jagannath, Anand Srinivas

Jagannath, Anand Srinivas is an individual health care provider with primary practice located at 629D Lowther Rd , Lewisberry PA 17339-9527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Jagannath, Anand Srinivas can be contacted via phone (717) 932-5200.

Contact Information

Primary practice address
629D Lowther Rd Lewisberry PA 17339-9527
Fax: (717) 932-3095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD043643E Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD043643E Pennsylvania

Profile Details

NPI number 1578559472
LBN Legal business name Jagannath, Anand Srinivas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 18th, 2012 - about 12 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 1578559472 NPPES
Pennsylvania MEDICAID 001158889

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