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NPI Code Detail

MEDICARE: NANJAPPA SREENIVAS M.D.

MEDICARE: NANJAPPA SREENIVAS 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
12084P0800XPsychiatry PhysicianF5051TX

Other Identifiers

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

General Provider Information

NPI Number : 1730101668
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANJAPPA SREENIVAS M.D.
Provider Business Mailing Address
First Line : 3701 W BUSINESS 83
Second Line :
City : HARLINGEN
State : TX
Zip : 78552-3556
Country : US
Telephone Number : 956-425-4422
Fax Number : 956-444-0113
Provider Business Practice Location Address
First Line : 7877 WILLOW CHASE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5934
Country : US
Telephone Number : 832-869-4818
Fax Number : 832-241-2902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 04/24/2024

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Directions to “ NANJAPPA SREENIVAS M.D.” Practice Location

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