Mukundan, Srinivasan
Mukundan, Srinivasan is an individual health care provider with primary practice located at 75 Francis St Brigham And Women'S Hospital, Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mukundan, Srinivasan can be contacted via phone (617) 732-7260.Contact Information
Primary practice address
75 Francis St Brigham And Women'S Hospital
Boston MA 02115-6110
Phone: (617) 732-7260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 236798 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 236798 | Massachusetts |
Profile Details
| NPI number | 1003902172 |
|---|---|
| LBN Legal business name | Mukundan, Srinivasan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003902172 | NPPES |
| North Carolina | MEDICAID | 891315T | |
| North Carolina | MEDICAID | 110081546/A |
Popular Providers
-
Smith, Darrell Nolan
75 Francis St Radiology Brigham & Womens Hospital, Boston MA 02115-6110 -
Su, Henry
1723 Washington St 502, Boston MA 02118-1820 -
Chaoui, Amin
1153 Centre Street Faulkner Hospital, Boston MA 02130 -
Tkacz, Jaroslaw N.
840 Harrison Ave , Boston MA 02118-2905 -
Gilman, Matthew D
Massachusetts General Hospital Dept Of Radiology 55 Fruit Street, Fnd 202, Boston MA 02114 -
Peters, Hope
75 Francis St Radiology Brigham & Womens Hospital, Boston MA 02115 -
Hoffmann, Udo
100 Charles River Plaza Cpz 4 Cpz 400 Radiological Associates, Boston MA 02114 -
Smith, Lorraine B.
840 Harrison Ave , Boston MA 02118-2905