Premier Independence
NPI #1285421115 in Burlingame, California
Provider Information
- NPI Number
- 1285421115
- Entity Type
- Organization
- Organization Name
- Premier Independence
- Primary Specialty
- Psychiatry & Neurology - Addiction Psychiatry
- Enumeration Date
- Apr 23, 2025
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 340 LORTON AVE STE 210
- City
- Burlingame
- State
- California
- ZIP Code
- 94010-4126
- Phone
- (773) 960-0293
Authorized Official
- Name
- SRIDHAR PRATHIKANTI, MD
- Title
- OWNER
- Phone
- (773) 960-0293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Addiction Psychiatry — Addiction Psychiatry |
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