Srikanth Desiraju
Srikanth Desiraju is a Physical Therapist in Private Practice in Painted Post, New York. Qualified in 2005, 21 years ago. Practices with Rehab by Rvna LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.
- Years since qualifying
- 21
- Licensed in
- MI, NY
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
22 Dreams Ln NPainted Post, NY 14870-9100
Phone: (770) 639-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 029420 (NY) |
|---|---|
| Contractor | Taxonomy 171W00000X · Licence 5501012510 (MI) |
Record details
| NPI number | 1407980907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | September 8, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Rehab By Rvna Llc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |