Healthcare Provider Details

I. General information

NPI: 1336415314
Provider Name (Legal Business Name): SHYLAJA SRINIVASAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2012
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 ABBOTT ST STE 200
SALINAS CA
93901-4483
US

IV. Provider business mailing address

355 ABBOTT ST STE 200
SALINAS CA
93901-4483
US

V. Phone/Fax

Practice location:
  • Phone: 831-422-3636
  • Fax: 831-422-1255
Mailing address:
  • Phone: 831-422-3636
  • Fax: 831-422-1255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberA144025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: