SRIVIDYA SRINIVASAN

SIOUX FALLS, SD
NPI1790923100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: SD  7445)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: WI  44209-20)
Enumeration Date2009-01-23
Last Update Date2011-12-01
Business Address
-- SRIVIDYA SRINIVASAN MD
1205 S GRANGE AVE STE 401
SIOUX FALLS, SD 57105-0410
Phone number: 605-328-8120
Mailing Address
-- SRIVIDYA SRINIVASAN MD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: