MEDICARE: DR. VIJETH RATHNARAJA SRINGERI M.D.

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	207R00000X	Internal Medicine Physician	35076324	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1356371314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIJETH RATHNARAJA SRINGERI M.D.

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 360
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4141
Country	:	US
Telephone Number	:	419-520-2495
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 CLINE AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-1000
Country	:	US
Telephone Number	:	419-756-2177
Fax Number	:	419-756-7275

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	01/25/2022

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