Provider Demographics
NPI:1043338510
Name:PYATI, SRINIVAS (MD,DA,FFARCSI)
Entity type:Individual
Prefix:DR
First Name:SRINIVAS
Middle Name:
Last Name:PYATI
Suffix:
Gender:M
Credentials:MD,DA,FFARCSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3094, DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - Street 2:DUKE UNIVERSITY MEDICAL CENTER, ERWIN ROAD
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2121
Mailing Address - Country:US
Mailing Address - Phone:919-286-6938
Mailing Address - Fax:
Practice Address - Street 1:2100 ERWIN ROAD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401360207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2038410Medicare PIN
NCI28711Medicare UPIN