Individual provider · Type 1 NPI

Samuel Srinivasan, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1396385563 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5151016683 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396385563

Samuel Srinivasan, DO's National Provider Identifier is 1396385563, issued on Jan 15, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 11, 2024.