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

Sreevathsan Sridhar, MD

Individual provider Diagnostic Radiology Physician · NPI 1194045070

Sreevathsan Sridhar, MD is an Interventional Radiology in Los Angeles, California. Qualified in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
16
Licensed in
CA, MO
In the registry since
2010
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

1505 N Edgemont St Bsmt - Radiology Dept
Los Angeles, CA 90027-5209
Phone: (323) 783-1438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 — (314) 362-5139

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A142413 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2010019844 (MO)

Record details

NPI number1194045070
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 2, 2010
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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