Provider Demographics
NPI:1841004645
Name:SRIKUMAR, JAINAHA
Entity type:Individual
Prefix:
First Name:JAINAHA
Middle Name:
Last Name:SRIKUMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 3RD AVE SW UNIT 301
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3654
Mailing Address - Country:US
Mailing Address - Phone:407-949-8348
Mailing Address - Fax:
Practice Address - Street 1:511 3RD AVE SW UNIT 301
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3654
Practice Address - Country:US
Practice Address - Phone:407-949-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program