MEDICARE: SINDHU SRINIVAS

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	213ES0103X	Foot & Ankle Surgery Podiatrist	POD305038	GA
2	208600000X	Surgery Physician	SC007124	PA

General Provider Information

NPI Number	:	1215556790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDHU SRINIVAS

Provider Business Mailing Address
First Line	:	1975 HIGHWAY 54 W STE 205
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-4794
Country	:	US
Telephone Number	:	770-716-8732
Fax Number	:	770-487-1204

Provider Business Practice Location Address
First Line	:	5671 PEACHTREE DUNWOODY RD STE 660
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-5006
Country	:	US
Telephone Number	:	404-843-0090
Fax Number	:	404-843-1008

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

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	01/19/2026

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Directions to “ SINDHU SRINIVAS ” Practice Location

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