MEDICARE: DR. NANDHINI SREEDHAR 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	208M00000X	Hospitalist Physician	MD429313	PA
2	207R00000X	Internal Medicine Physician	MD429313	PA

General Provider Information

NPI Number	:	1497784227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANDHINI SREEDHAR MD

Provider Business Mailing Address
First Line	:	300 FOUR FALLS CORPORATE CENTER, SUITE 260
Second Line	:
City	:	WEST CONSHOHOCKEN
State	:	PA
Zip	:	19428
Country	:	US
Telephone Number	:	844-826-3446
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 OLD LANCASTER RD STE 320
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3235
Country	:	US
Telephone Number	:	610-527-3800
Fax Number	:

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	04/04/2025

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