Provider Demographics
NPI:1558760124
Name:KOWSIKA, SRIVATSA CHIHNA (PA-C)
Entity Type:Individual
Prefix:MR
First Name:SRIVATSA
Middle Name:CHIHNA
Last Name:KOWSIKA
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:15059 N SCOTTSDALE RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2685
Mailing Address - Country:US
Mailing Address - Phone:602-778-3601
Mailing Address - Fax:928-432-7001
Practice Address - Street 1:100 WELLNESS WAY
Practice Address - Street 2:BAY HEALTH HOSPITAL
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963
Practice Address - Country:US
Practice Address - Phone:302-430-5175
Practice Address - Fax:302-430-5060
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2024-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601007070363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant