Srinivasan, Parthasarathy

Srinivasan, Parthasarathy is an individual health care provider with primary practice located at 765 N Kellogg St Ste 203 , Galesburg IL 61401-2859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Srinivasan, Parthasarathy can be contacted via phone (309) 676-8123.

Contact Information

Primary practice address
765 N Kellogg St Ste 203 Galesburg IL 61401-2859
Phone: (309) 676-8123
Fax: (309) 676-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036077837 Illinois

Profile Details

NPI number 1134199359
LBN Legal business name Srinivasan, Parthasarathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 25th, 2022 - about 3 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 1134199359 NPPES
Illinois Other 613790004 UPIN
Illinois MEDICAID 036-077837 UPIN

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