Rao, Srinivasan

Rao, Srinivasan is an sole proprietor health care provider with primary practice located at 3800 Venetian Way Ste 200, Newburgh IN 47630-8257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Rao, Srinivasan can be contacted via phone (812) 477-6103.

Contact Information

Primary practice address
3800 Venetian Way Ste 200 Newburgh IN 47630-8257
Fax: (812) 477-4897
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 010601439A Indiana

Profile Details

NPI number 1356378624
LBN Legal business name Rao, Srinivasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Nov 10th, 2021 - about 4 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 1356378624 NPPES
Indiana MEDICAID 200801270A

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