MEDICARE: DR. VIJAY NARASIMHAN SRINIVASAN 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	207RP1001X	Pulmonary Disease Physician	ME139668	FL
2	207R00000X	Internal Medicine Physician	ME139668	FL

General Provider Information

NPI Number	:	1851753909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIJAY NARASIMHAN SRINIVASAN M.D.

Provider Business Mailing Address
First Line	:	6404 TRAILS OF FOXFORD CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5134
Country	:	US
Telephone Number	:	585-469-6890
Fax Number	:	800-792-9021

Provider Business Practice Location Address
First Line	:	1620 SOUTHERN BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-3242
Country	:	US
Telephone Number	:	561-800-4111
Fax Number	:

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

Provider Enumeration Date	:	03/27/2016
Last Update Date	:	12/26/2025

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