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SRIVANI SRIKANTIAH M.D. PLLC NPI 1669730628


NPI Information

NPI: 1669730628
Provider Name: SRIVANI SRIKANTIAH, M.D. PLLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
18275 N 59TH AVE
SUITE 138
GLENDALE, AZ
ZIP 85308
Phone: (602) 564-0078
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SRIVANI SRIKANTIAH, M.D. PLLC is a geriatric medicine internal medicine in Glendale, AZ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SRIVANI SRIKANTIAH, M.D. PLLC NPI is 1669730628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18275 N 59TH AVE
SUITE 138
GLENDALE, AZ
ZIP 85308-260
Phone: (602) 564-0078
Fax: (602) 564-2719

The provider's authorized official is Deanna S Jarrett .
The authorized official title is Office Administrator and has the following contact phone number (602) 564-0078.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 4/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine34435ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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