Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 0101229944 | VA |
NPI | 1285934414 |
---|---|
Provider Name | Dr. Ramaprasad Srinivasan |
First Address | Bethesda, MD 20892-1210 |
Second Address | Bethesda, MD 20892-1210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2010 |
Last Update Date | 21/10/2010 |