Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301096909 | MI |
Y | 2080P0202X | Pediatric Cardiologist | 280317 | NY |
NPI | 1023320298 |
---|---|
Provider Name | Dr. Ranjini Srinivasan |
First Address | Flint, MI 48503-5902 |
Second Address | Flint, MI 48503-5902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2010 |
Last Update Date | 29/05/2020 |