Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2005-00328 | NC |
N | 111NI0900X | Internist | 2005-00328 | NC |
Y | 207R00000X | Internist | ME106941 | FL |
Y | 111NI0900X | Internist | ME106941 | FL |
NPI | 1003802554 |
---|---|
Provider Name | Sriprintha Navarathinarajah |
First Address | Tampa, FL 33634-6327 |
Second Address | Tampa, FL 33634-6327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003773200 | (05) | FL |
H43223 | (02) |