National Provider Identifier

Shiva Prakash Srinivasan, M.D.

Shiva Prakash Srinivasan, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Cheektowaga, NY and a listed phone number of (267) 809-5034.

NPI 1417199431Cheektowaga, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1417199431
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 06, 2009
Last Updated
April 06, 2009

Practice Location

  • 25A Garden Village Dr
  • Apt # 3
  • Cheektowaga, NY 14227-3375

Phone: (267) 809-5034

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1417199431
Entity Type
Individual
Last Name
Srinivasan
First Name
Shiva Prakash
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
25A Garden Village Dr
Mailing Address Line 2
Apt # 3
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14227-3375
Mailing Country
US
Mailing Phone
(267) 809-5034
Practice Street Address
25A Garden Village Dr
Practice Address Line 2
Apt # 3
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14227-3375
Practice Country
US
Practice Phone
(267) 809-5034
Enumeration Date
April 06, 2009
Last Updated
April 06, 2009
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)