Provider Demographics
NPI:1447251202
Name:MALINI, SRINI (MD)
Entity type:Individual
Prefix:
First Name:SRINI
Middle Name:
Last Name:MALINI
Suffix:
Gender:F
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:PO BOX 710561
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0561
Mailing Address - Country:US
Mailing Address - Phone:713-795-5672
Mailing Address - Fax:713-795-5809
Practice Address - Street 1:8200 WEDNESBURY LN
Practice Address - Street 2:SUITE 320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2925
Practice Address - Country:US
Practice Address - Phone:713-795-5672
Practice Address - Fax:713-795-5809
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF01132085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00BR18OtherBLUE CROSS BLUE SHEILD
TX8F4387Medicare PIN
TXE21626Medicare UPIN