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NPI Code Detail

MEDICARE: SRIPRINTHA NAVARATHINARAJAH MD

MEDICARE: SRIPRINTHA NAVARATHINARAJAH MD
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
1207R00000XInternal Medicine PhysicianME106941FL
2207R00000XInternal Medicine Physician2005-00328NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003802554
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRIPRINTHA NAVARATHINARAJAH MD
Provider Business Mailing Address
First Line : 5130 SUNFOREST DR STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33634-6327
Country : US
Telephone Number : 727-824-0780
Fax Number : 813-514-8891
Provider Business Practice Location Address
First Line : 5130 SUNFOREST DR STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33634-6327
Country : US
Telephone Number : 727-824-0780
Fax Number : 813-514-8891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 11/19/2021

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Directions to “ SRIPRINTHA NAVARATHINARAJAH MD” Practice Location

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