Indra Sriram is a Adolescent Medicine in Columbia, South Carolina. Indra Sriram practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Indra Sriram is 1790781938. The last update date is 2014-07-10.
Indra Sriram's current location address is 168 Carolina Ridge Dr, Columbia, South Carolina. You can contact this provider via phone number 2606024645. The mailing address for Indra Sriram is 168 Carolina Ridge Dr, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Indra Sriram |
|---|---|
| Address | 168 Carolina Ridge Dr, Columbia, South Carolina |
| Phone Number | 2606024645 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790781938 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2014-07-10 |
Provider Mailing Address Detail
| Address | 168 Carolina Ridge Dr |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 2922973960 |
| Phone Number | 2606024645 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 1040404 |
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Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100439910 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Indra Sriram by the Centers for Medicare & Medicaid Services?
The Indra Sriram has been issued the NPI (National Provider Identifier) 1790781938, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Indra Sriram is physically located?
The Indra Sriram is situated at the following address: 168 Carolina Ridge Dr, Columbia, SC 2922973960.
What is Indra Sriram's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Indra Sriram is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Ra0000X.
On what date was the 1790781938 assigned to Indra Sriram?
The Indra Sriram was issued its 1790781938 on 2005-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Indra Sriram most recently updated or refreshed?
The details pertaining to the Indra Sriram, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-07-10.