Provider Demographics
NPI:1902032576
Name:SRINIVASALU, HEMALATHA (MD)
Entity Type:Individual
Prefix:
First Name:HEMALATHA
Middle Name:
Last Name:SRINIVASALU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 37215
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3215
Mailing Address - Country:US
Mailing Address - Phone:202-476-4674
Mailing Address - Fax:202-476-2280
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:RHEUMATOLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2916
Practice Address - Country:US
Practice Address - Phone:202-476-4674
Practice Address - Fax:202-476-2280
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2012-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0404032080P0216X
MDD00741062080P0216X
VA01012515112080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology