Srinivasan, Sampurna
Srinivasan, Sampurna is an individual health care provider with primary practice located at 201 Mechanic St , Lexington KY 40507-1004. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Srinivasan, Sampurna can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
201 Mechanic St
Lexington KY 40507-1004
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0746 | Kentucky |
Profile Details
| NPI number | 1932254562 |
|---|---|
| LBN Legal business name | Srinivasan, Sampurna |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1932254562 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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