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Aishwarya Srinivasan, RD

Dietitian, Registered in Ardmore, OK. Individual provider (NPI-1).

NPI number1164034872
StatusActive
Last updated in NPPESAug 24, 2020

Details

NPI
1164034872
Entity type
Individual (NPI-1)
Name
Aishwarya Srinivasan
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2020
Certification date
Aug 24, 2020
Last updated
Aug 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered2522OKYes

Practice location

1011 14th Ave Nw
Ardmore, OK 73401-1828

Phone 405-612-4012

Mailing address

1011 14th Ave Nw
Ardmore, OK 73401-1828

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