Pratibha Srinivasan, MS CCC-A, CERT AVT is a
Audiologist based in Mclean, Virginia. Pratibha Srinivasan is licensed to practice in Virginia (license number 2201000379) and her current practice location is
1495 Chain Bridge Rd, Mclean, Virginia. She can be reached at her office (for appointments etc.) via phone at
(571) 633-0770.
NPI number for Pratibha Srinivasan is 1811907801 and her current mailing address is 4001 Springfield Rd, Glen Allen, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811907801.
Healthcare Provider's Profile
| Full Name | Pratibha Srinivasan |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 1495 Chain Bridge Rd, Mclean, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811907801
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Pratibha Srinivasan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811907801 | NPI | - | NPPES |
| 69161 | Other | VA | PROVIDER ID/OPTIMA HEALTH |
| 140801 | Other | VA | PROVIDER ID - ANTHEM |
| 208069 | Other | VA | PROVIDER ID - ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 2201000379 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pratibha Srinivasan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pratibha Srinivasan, MS CCC-A, CERT AVT
4001 Springfield Rd,
Glen Allen, VA 23060-4181
Ph: (804) 290-0475 | Pratibha Srinivasan, MS CCC-A, CERT AVT
1495 Chain Bridge Rd,
Mclean, VA 22101-5727
Ph: (571) 633-0770 |
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