Sattiraju, Srinivasan

Sattiraju, Srinivasan is an individual health care provider with primary practice located at 2310 Village Square Pkwy Ste 204 , Fleming Island FL 32003-6409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sattiraju, Srinivasan can be contacted via phone (904) 224-5185.

Contact Information

Primary practice address
2310 Village Square Pkwy Ste 204 Fleming Island FL 32003-6409
Fax: (904) 376-3202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME131129 Florida

Profile Details

NPI number 1215900808
LBN Legal business name Sattiraju, Srinivasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 30th, 2024 - about 5 months 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 1215900808 NPPES
Minnesota MEDICAID 298041000
Minnesota MEDICAID 02022100

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