Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A144025 | CA |
NPI | 1336415314 |
---|---|
Provider Name | Shylaja Srinivasan |
First Address | Salinas, CA 93901-4483 |
Second Address | Salinas, CA 93901-4483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 29/05/2019 |