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NPI Code Detail

MEDICARE: SRIKANTH DORAISWAMY

MEDICARE:   SRIKANTH  DORAISWAMY
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
1237700000XHearing Instrument Specialist80678TX
2237700000XHearing Instrument SpecialistAS4790FL

General Provider Information

NPI Number : 1053704395
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRIKANTH DORAISWAMY
Provider Business Mailing Address
First Line : 1620 N US HIGHWAY 1 STE 11
Second Line :
City : TEQUESTA
State : FL
Zip : 33469-3241
Country : US
Telephone Number : 561-341-0229
Fax Number :
Provider Business Practice Location Address
First Line : 11985 US HIGHWAY 1 STE 105
Second Line :
City : NORTH PALM BEACH
State : FL
Zip : 33408-2874
Country : US
Telephone Number : 561-341-0229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2015
Last Update Date : 02/03/2020

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Directions to “ SRIKANTH DORAISWAMY ” Practice Location

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