Organization Active NPI

Mythili Srikrishnan MD

  • Physical Medicine & Rehabilitation Physician
  • Alden, NY
National Provider Identifier
1063710366
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MYTHILI SRIKRISHNAN MD
Practice address
12845 Broadway St
Alden, NY 14004-1223
Phone
(716) 937-3255
Fax
(716) 937-1110
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mythili Tamarapu Srikrishnan, MD
Title
MD/Owner
Phone
(716) 937-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

12845 Broadway St
Alden, NY 14004-1223

Mailing address

12845 Broadway St
Alden, NY 14004-1223
Phone (716) 937-3255

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1063710366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12845 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041223",
            "telephone_number": "716-937-3255",
            "fax_number": "716-937-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12845 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041223",
            "telephone_number": "716-937-3255",
            "fax_number": "716-937-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTHILI SRIKRISHNAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "SRIKRISHNAN",
        "authorized_official_first_name": "MYTHILI",
        "authorized_official_middle_name": "TAMARAPU",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "716-937-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.