Individual provider · Type 1 NPI

Kavitha Srinivasan, MD

Family Medicine Physician · Cheyenne, WY

NPI number 1124712856 Active

Practice location

820 E 17th St
Cheyenne, WY 82001-4714

Call (307) 632-2434 Map

Fax (307) 634-3510

Mailing address

11511 Shadow Creek Pkwy, Credentialing Services
Pearland, TX 77584-7298

Other practice locations

  • 25553 Highway 59, Porter, TX 77365-6154 · (713) 442-2100

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XW7138 (TX)
Family Medicine Physician Primary 207Q00000X228-T2 (WY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1124712856

Kavitha Srinivasan, MD's National Provider Identifier is 1124712856, issued on Jun 6, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Cheyenne, WY. The record was last updated on Sep 24, 2026.