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Contact Information

SRIKANTH EATHIRAJU
3635 S CLYDE MORRIS BLVD
SUITE 900
PORT ORANGE, FL32129-2300
 Phone: 203-354-9541
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SRIKANTH EATHIRAJU · (Male)

NPI # 1841596327
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2011
Last updated 10/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 050608
  • FL License # ME117329
Hospital affiliation(s)
  • BERT FISH MEDICAL CENTER - (Acute Care)
    401 PALMETTO ST
    NEW SMYRNA BEACH, FL 32170
  • HALIFAX HEALTH MEDICAL CENTER - (Acute Care)
    303 N CLYDE MORRIS BLVD
    DAYTONA BEACH, FL 32114
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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