Provider Demographics
NPI:1730490749
Name:HALAHALLI SRINIVASA, VANI MURTHY (MS)
Entity Type:Individual
Prefix:DR
First Name:VANI
Middle Name:MURTHY
Last Name:HALAHALLI SRINIVASA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16, INDUSTRIAL SUBURB
Mailing Address - Street 2:VISHVESHWARA NAGAR, SECOND STAGE
Mailing Address - City:MYSORE
Mailing Address - State:KARNATAKA
Mailing Address - Zip Code:570008
Mailing Address - Country:IN
Mailing Address - Phone:984-574-0765
Mailing Address - Fax:
Practice Address - Street 1:23RD STREET FIRST AVENUE
Practice Address - Street 2:423 VA HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:347-285-6245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder