| Pratibha Srinivasan, MS CCC-A, CERT AVT | |
|
1495 Chain Bridge Rd, Mclean, VA 22101-5727 | |
| (571) 633-0770 | |
| (571) 633-9666 |
| Full Name | Pratibha Srinivasan |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1495 Chain Bridge Rd, Mclean, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811907801 | NPI | - | NPPES |
| 140801 | Other | VA | PROVIDER ID - ANTHEM |
| 69161 | Other | VA | PROVIDER ID/OPTIMA HEALTH |
| 208069 | Other | VA | PROVIDER ID - ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2201000379 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pratibha Srinivasan, MS CCC-A, CERT AVT 4001 Springfield Rd, Glen Allen, VA 23060-4181 Ph: (804) 290-0475 | Pratibha Srinivasan, MS CCC-A, CERT AVT 1495 Chain Bridge Rd, Mclean, VA 22101-5727 Ph: (571) 633-0770 |
Dr. Gina M Crovato, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6862 Elm St, Suite 120, Mclean, VA 22101 Phone: 703-748-3300 Fax: 703-748-3311 |