| Doctor Name: | KRISHNASWAMI SRINIVASAN |
| NPI Number: | 1316044365 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35.048947 |
| Business Practice Address: | 2400 Hospital Rd Tuskegee, AL - 360835001 |
| Business Phone Number: | 3347270550 |
| Business Fax Number: | |
| Mailing Address: | 174 Asheton Ln, AUBURN |
| State: | AL |
| Postal Code: | 368302686 |
| Phone Number: | 3348212578 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 35.048947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |