Provider Demographics
NPI:1821877481
Name:SRINIVAS, ROHITH (MD)
Entity type:Individual
Prefix:DR
First Name:ROHITH
Middle Name:
Last Name:SRINIVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#19, MARIAVILLE, 4TH CROSS, RAGHAVENDRA EXTENSION
Mailing Address - Street 2:RAMAMURTHYNAGAR
Mailing Address - City:BENGALURU
Mailing Address - State:KARNATAKA
Mailing Address - Zip Code:560016
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:#19, MARIAVILLE, 4TH CROSS, RAGHAVENDRA EXTENSION
Practice Address - Street 2:RAMAMURTHYNAGAR
Practice Address - City:BENGALURU
Practice Address - State:KARNATAKA
Practice Address - Zip Code:560016
Practice Address - Country:IN
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program