Active NPI
Malini Sridharan, M.D.
- Pediatrics Physician
- Washington, PA
National Provider Identifier
1922060896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD036486E
- Practice address
- 155 Wilson Ave
Washington, PA 15301-3336 - Phone
- (724) 579-1902
- Fax
- (724) 579-1906
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD036486E | PA | Primary |
Addresses
Primary practice location
155 Wilson Ave
Washington, PA 15301-3336
Mailing address
140 Wayland Smith Dr
Uniontown, PA 15401-2677
Phone (724) 437-9854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036486E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1922060896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WAYLAND SMITH DR",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154012677",
"telephone_number": "724-437-9854",
"fax_number": "724-437-8305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WILSON AVE",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013336",
"telephone_number": "724-579-1902",
"fax_number": "724-579-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIDHARAN",
"first_name": "MALINI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD036486E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.