Active NPI
M. Srinivasan MD PC
- Cardiovascular Disease Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 52836
- Legal business name
- M. SRINIVASAN MD PC
- Practice address
- 5255 Snapfinger Park Dr
Suite 130
Decatur, GA 30035-4084 - Phone
- (770) 322-8881
- Fax
- (770) 322-8886
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Muthayyah Srinivasan, MD
- Title
- Priniciple
- Phone
- (770) 322-8881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 52836 | GA | Primary |
Addresses
Primary practice location
5255 Snapfinger Park Dr
Suite 130
Decatur, GA 30035-4084
Mailing address
5255 Snapfinger Park Dr
Suite 130
Decatur, GA 30035-4084
Phone (770) 322-8881
National Provider Directory
National Provider DirectoryLocations
1359 Milstead Rd NE
Ste 101
Conyers, GA 30012
Phone (770) 322-8881
5255 Snapfinger Park Dr
Ste 130
Decatur, GA 30035
Phone (770) 322-7003
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Lithonia, GA
- NPI 1205835501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275436800000",
"number": "1457373334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 SNAPFINGER PARK DR",
"address_2": "SUITE 130",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354084",
"telephone_number": "770-322-8881",
"fax_number": "770-322-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 SNAPFINGER PARK DR",
"address_2": "SUITE 130",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354084",
"telephone_number": "770-322-8881",
"fax_number": "770-322-8886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. SRINIVASAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2010-06-02",
"status": "A",
"authorized_official_last_name": "SRINIVASAN",
"authorized_official_first_name": "MUTHAYYAH",
"authorized_official_title_or_position": "PRINICIPLE",
"authorized_official_telephone_number": "770-322-8881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "52836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.