Provider Demographics
NPI:1265403000
Name:SREENATH, BELUR S (MD)
Entity type:Individual
Prefix:MR
First Name:BELUR
Middle Name:S
Last Name:SREENATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3901 66TH ST N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-4911
Mailing Address - Country:US
Mailing Address - Phone:727-345-5500
Mailing Address - Fax:727-345-6164
Practice Address - Street 1:3901 66TH ST N
Practice Address - Street 2:SUITE 201
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-4911
Practice Address - Country:US
Practice Address - Phone:727-345-5500
Practice Address - Fax:727-345-6164
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME38516207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
62311OtherBCBS
01188OtherWELLCARE
10694701OtherCITRUS HEALTHCARE
849OtherUNIVERSAL HEALTHCARE
080961OtherAV MED
2905018OtherUNITED HEALTHCARE
9637381OtherGHI
0178423-006OtherCIGNA
1035401OtherCAREPLUS
225570OtherAMERIGROUP
4238666OtherAETNA
1035401OtherCAREPLUS
10694701OtherCITRUS HEALTHCARE