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Hemamalini Srinivasan

Dentist

Dental Providers

4921a Clairemont Dr, San Diego, CA 92117-2708

PECOS Enrollment

Based on the most recent information from CMS, provider Hemamalini Srinivasan is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1003823899
Provider Type
Individual
Full Name
Srinivasan, Hemamalini
Title
Dr.
Credential
DDS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/2/2006
Last Updated
7/8/2007

Contact Information

Practice Location

4921a Clairemont Dr, San Diego, CA 92117-2708

(858) 272-7300

(858) 272-3135

Mailing Location

4921a Clairemont Dr, San Diego, CA 92117-2708

(858) 272-7300

(858) 272-3135

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 45022 California

Hemamalini Srinivasan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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