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NPI Code Detail

MEDICARE: MS. RAJASREE SREEDHARAN M.D.

MEDICARE: MS. RAJASREE SREEDHARAN 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
1208000000XPediatrics PhysicianV2416TX
22080P0210XPediatric Nephrology Physician49265WI
32080P0210XPediatric Nephrology PhysicianV2416TX

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 : 1922031079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RAJASREE SREEDHARAN M.D.
Provider Business Mailing Address
First Line : 315 N SAN SABA STE 1135
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3255
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 N SANTA ROSA
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3108
Country : US
Telephone Number : 210-704-3705
Fax Number : 210-704-4087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 02/09/2026

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