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General NPI Number Information
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NPI Number | 1679794671
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Entity Type | Individual
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Provider Name | VATHANY SRIGANESHAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-535-3400
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Fax | 305-535-3416
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Provider Business Mailing Address
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Address Line | PO BOX 3093
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City | BOCA RATON
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State | FL
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Zip | 33431-0993
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Country | US
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Telephone | 305-503-6320
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Fax | 305-503-6329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | ME95975
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME95975
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | ME95975
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License Number State | FL
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