person
Dr. Mirra Srinivasan, MD
Student in an Organized Health Care Education/Training Program in Jonesboro, Arkansas
NPI 1902555915

Mirra Srinivasan is a Student in an Organized Health Care Education/Training Program based in Jonesboro, AR. Mirra Srinivasan practices in Jonesboro, AR and has the professional credentials of MD. The NPI Number for Mirra Srinivasan is 1902555915 and holds a License No. (Arkansas).

The current practice location address for Mirra Srinivasan is 300 Carson St, Jonesboro, AR and can be reached out via phone at 870-910-7799 and via fax at 870-336-2999.

Location: 300 Carson St, Jonesboro, AR, 72401-3104
person
Provider Profile Details
NPI Number
1902555915
Provider Name
Mirra Srinivasan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Carson St, Jonesboro, AR, 72401-3104
Phone Number
870-910-7799
Fax Number
870-336-2999
Provider Enumeration Date
03/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Carson St
City
State
Zip
72401-3104
Phone Number
870-910-7799
Fax Number
870-336-2999
person
Provider Business Mailing Address Details
Address
300 Carson St
City
State
Zip
72401-3104
Phone Number
870-910-7799
Fax Number
870-336-2999
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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