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Contact Information

DEEPAK SRINIVASAN, P.C.
11-10 5TH ST
FAIR LAWN, NJ07410-1473
 Phone: 201-312-7682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEEPAK SRINIVASAN PC · (Female)

NPI # 1386879542
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2009
Last updated 05/18/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MA06740000
  • NJ Medicaid 0018180
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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