SHREYAS SRINIVASAN, DO

Family Medicine

Active Individual
NPI: 1639732043

Practice Address

420 NE GLEN OAK AVE FL 1
Peoria, IL 61603

Phone: (877) 692-8686

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes 036.162278 (IL)

Frequently Asked Questions

NPI 1639732043 is the National Provider Identifier for SHREYAS SRINIVASAN, DO, a Family Medicine provider located in Peoria, IL. This NPI was enumerated on April 22, 2019.
SHREYAS SRINIVASAN, DO practices at 420 NE GLEN OAK AVE FL 1, Peoria, IL 61603.

Quick Facts

NPI
1639732043
Type
Individual
Enumerated
Apr 22, 2019
Last Updated
Sep 20, 2022

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