Sriram, Chenni S

Sriram, Chenni S is an individual health care provider with primary practice located at 3901 Beaubien - 4Th Fl Childrens Hospital Of Mi, Detroit MI 48201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Sriram, Chenni S can be contacted via phone (313) 745-5484.

Contact Information

Primary practice address
3901 Beaubien - 4Th Fl Childrens Hospital Of Mi Detroit MI 48201
Phone: (313) 745-5484
Fax: (313) 966-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD449353 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 57012940 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 104900 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 53481 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 57012940 Michigan

Profile Details

NPI number 1427223346
LBN Legal business name Sriram, Chenni S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Jan 19th, 2017 - about 7 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 1427223346 NPPES
Pennsylvania MEDICAID 102844225

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