Provider Demographics
NPI:1053099838
Name:SRINAGESH, ARADHANA
Entity type:Individual
Prefix:
First Name:ARADHANA
Middle Name:
Last Name:SRINAGESH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 HOPE ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2651
Mailing Address - Country:US
Mailing Address - Phone:732-425-1287
Mailing Address - Fax:
Practice Address - Street 1:665 HOPE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2651
Practice Address - Country:US
Practice Address - Phone:732-425-1287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program