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NPI Code Detail

MEDICARE: MS. DEEPIKA SRINIVASAN PA-C

MEDICARE: MS. DEEPIKA SRINIVASAN PA-C
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
1363A00000XPhysician AssistantPA10151TX

General Provider Information

NPI Number : 1811133762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEEPIKA SRINIVASAN PA-C
Provider Business Mailing Address
First Line : 1111 E CESAR CHAVEZ ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-4209
Country : US
Telephone Number : 512-978-8130
Fax Number :
Provider Business Practice Location Address
First Line : 5339 N IH 35 STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2558
Country : US
Telephone Number : 512-978-8130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2008
Last Update Date : 02/18/2026

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