Srinivasan, Vijay
Srinivasan, Vijay is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Srinivasan, Vijay can be contacted via phone (215) 590-1000.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-4319
Phone: (215) 590-1000
Fax: (215) 590-4327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD073756L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD073756L | Pennsylvania |
Profile Details
| NPI number | 1275649154 |
|---|---|
| LBN Legal business name | Srinivasan, Vijay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | May 19th, 2023 - about last year |
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 | 1275649154 | NPPES |
| Pennsylvania | MEDICAID | 1012277730 | |
| Pennsylvania | Other | 089852EMD |
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