| Srivani Srikantiah, M.D. PLLC | |
|
18275 N 59th Ave Suite 138 Glendale AZ 85308-1260 | |
| (602) 564-0078 | |
| (602) 564-2719 |
| Full Name | Srivani Srikantiah, M.D. PLLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 18275 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Srivani K Srikantiah (PHYSICIAN) |
| Authorized Official Contact | 4805229462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srivani Srikantiah, M.D. PLLC Po Box 28712 Scottsdale AZ 85255-0161 Ph: (480) 522-9462 | Srivani Srikantiah, M.D. PLLC 18275 N 59th Ave Suite 138 Glendale AZ 85308-1260 Ph: (602) 564-0078 |
| NPI Number | 1669730628 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669730628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 34435 (Arizona) | Primary |
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