Susarla, Srinivas M

Susarla, Srinivas M is an individual health care provider with primary practice located at 4800 Sand Point Way Ne Seattle Children'S Hospital, Seattle WA 98105-3901. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Susarla, Srinivas M can be contacted via phone (206) 987-5223.

Contact Information

Primary practice address
4800 Sand Point Way Ne Seattle Children'S Hospital Seattle WA 98105-3901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DF60668028 Washington
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD60628000 Washington

Profile Details

NPI number 1659562775
LBN Legal business name Susarla, Srinivas M
Credentials MD, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 28th, 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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