Provider Demographics
NPI:1477824456
Name:SRINIVASAN, APARNA (MBBS, PHD)
Entity Type:Individual
Prefix:DR
First Name:APARNA
Middle Name:
Last Name:SRINIVASAN
Suffix:
Gender:F
Credentials:MBBS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CROSS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4697
Mailing Address - Country:US
Mailing Address - Phone:203-845-2160
Mailing Address - Fax:
Practice Address - Street 1:40 CROSS ST STE 200
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4697
Practice Address - Country:US
Practice Address - Phone:203-845-2160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT055412207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease