MEDICARE: DR. ABHISHEK SRINIVAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician	PENDING	MD

General Provider Information

NPI Number	:	1821394362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABHISHEK SRINIVAS M.D.

Provider Business Mailing Address
First Line	:	600 N WOLFE ST
Second Line	:	BLALOCK 544
City	:	BALTIMORE
State	:	MD
Zip	:	21287-0005
Country	:	US
Telephone Number	:	410-614-1047
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N WOLFE ST
Second Line	:	BLALOCK 544
City	:	BALTIMORE
State	:	MD
Zip	:	21287-0005
Country	:	US
Telephone Number	:	410-614-1047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	01/12/2026

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