Dr SHASHI K SRINIVASAN MD is a male medical professional, specializing in Dermatology. He graduated in 1991.
DERMATOLOGY CLINIC PC
2441 GREAR ST NE
SALEM
OR
973012749
Tel: 5033643321
| Npi | 1992755813 |
| Pac Id | 6608822986 |
| Professional Enrollment Id | I20070117000123 |
| Last Name | SRINIVASAN |
| First Name | SHASHI |
| Middle Name | K |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1991 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | DERMATOLOGY CLINIC PC |
| Group Practice Pac Id | 3577559012 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 2441 GREAR ST NE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SALEM |
| State | OR |
| Zip Code | 973012749 |
| Phone Number | 5033643321 |
| Hospital Affiliation Ccn 1 | 380051 |
| Hospital Affiliation Lbn 1 | SALEM HOSPITAL |
| Hospital Affiliation Ccn 2 | 380009 |
| Hospital Affiliation Lbn 2 | OHSU HOSPITAL |
| Hospital Affiliation Ccn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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