Mandyam K Srinivasa, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35040662S Issued in OH

Practice address

4777 E Galbraith Rd
Cincinnati, OH 45236-2725

Phone

(513) 686-3000

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1609822550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CLIFTON AVE",
            "address_2": "SUITE 4",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202064",
            "telephone_number": "513-861-2490",
            "fax_number": "513-861-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASA",
        "first_name": "MANDYAM",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35040662S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0871641",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Squillante
• Melissa Drew Squires, M.D.
• Katya Sracic, MD
• Maher Ahmad Sraj, M.D.
• Mallika Parvathi Sridhar
• Vijay Krishnakumar Srinivasa, M.D.
• Beverly Srinivasan
• Raghuram Srinivasan, DO
• Thitiwat Sriprasart
• Ajay Srivastava, MD

• Anesthesiology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.