National Provider Identifier Database

SRINIVASAN DEVANATHAN, MD – NPI #1104874452
Pulmonary Disease

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.


Contact Information

SRINIVASAN DEVANATHAN, MD
8028 CARNEGIE BLVD.
SUITE 600
FORT WAYNE, IN46804-5790
Phone: 260-969-7100
Fax: 260-969-7263
Website:
Specialty Taxonomy Code
* Pulmonary Disease 207RP1001X
Critical Care Medicine 207RC0200X
Sleep Medicine 207RS0012X

* Indicates primary specialty

NPI Profile & details for SRINIVASAN DEVANATHAN

NPI Number 1104874452
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 10/17/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01059028
  • IN License #: 01059028A
  • IN Medicaid: 200481860
  • IN Other: 000000670561 ANTHEM
  • IN Other: P00867128 R.R. MEDICARE
Hospital affiliation n/a

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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