Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kavitha Srinivasan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124712856

Kavitha Srinivasan, MD is a Student in an Organized Health Care Education/Training Program in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2023.

Licensed in
WY
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 E 17th St
Cheyenne, WY 82001-4714
Phone: (307) 632-2434
Fax: (307) 634-3510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 228-T2 (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124712856
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024
Mailing address820 E 17th St, Cheyenne, WY 82001-4714

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