John D Srinivasan, MD | |
3635 Vista, St Louis, MO 63110 | |
(314) 577-8750 | |
(314) 268-5102 |
Full Name | John D Srinivasan |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3635 Vista, St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245257823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2002012698 (Missouri) | Primary |
Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407232804 PECOS PAC ID: 3274842331 Enrollment ID: O20151013000437 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
Mailing Address | Practice Location Address |
---|---|
John D Srinivasan, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | John D Srinivasan, MD 3635 Vista, St Louis, MO 63110 Ph: (314) 577-8750 |
Mary Hanna, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 660 South Euclid Avenue, St Louis, MO 63110 Phone: 613-795-4184 | |
Dr. Grant Nicholas Bleeker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3015 N Ballas Rd, St Louis, MO 63131 Phone: 314-996-5000 | |
Hui Yuan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Jeffrey Owen Bray, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 | |
Lucia Z Liu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Kumiko Shimoda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 |