MEDICARE: MR. BELUR S SREENATH 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
1	207RG0100X	Gastroenterology Physician	ME38516	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	62311	OTHER	BCBS
2	01188	OTHER	WELLCARE
3	10694701	OTHER	CITRUS HEALTHCARE
4	849	OTHER	UNIVERSAL HEALTHCARE
5	080961	OTHER	AV MED
6	2905018	OTHER	UNITED HEALTHCARE
7	9637381	OTHER	GHI
8	0178423-006	OTHER	CIGNA
9	1035401	OTHER	CAREPLUS
10	225570	OTHER	AMERIGROUP
11	4238666	OTHER	AETNA

General Provider Information

NPI Number	:	1265403000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BELUR S SREENATH MD

Provider Business Mailing Address
First Line	:	3901 66TH ST N
Second Line	:	SUITE 201
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-4911
Country	:	US
Telephone Number	:	727-345-5500
Fax Number	:	727-345-6164

Provider Business Practice Location Address
First Line	:	3901 66TH ST N
Second Line	:	SUITE 201
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-4911
Country	:	US
Telephone Number	:	727-345-5500
Fax Number	:	727-345-6164

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	11/08/2007

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Directions to “ MR. BELUR S SREENATH MD” Practice Location

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