Srinivasan, Deepak

Srinivasan, Deepak is an sole proprietor health care provider with primary practice located at 11-10 5Th St , Fair Lawn NJ 07410-1473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Srinivasan, Deepak can be contacted via phone (201) 312-7682.

Contact Information

Primary practice address
11-10 5Th St Fair Lawn NJ 07410-1473
Phone: (201) 312-7682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA06740000 New Jersey
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MA06740000 New Jersey

Profile Details

NPI number 1467465831
LBN Legal business name Srinivasan, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated May 18th, 2009 - about 16 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 1467465831 NPPES
New Jersey MEDICAID 0018180

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