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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, P.C.

NPI Number 1386879542
LBN Legal business name DEEPAK SRINIVASAN, P.C.
Authorized official DEEPAK SRINIVASAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2009
Last updated 05/18/2009 - About 17 years ago
Identifiers
NJ License # MA06740000
NJ Medicaid 0018180
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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