DR. INDRA SRIRAM (NPI# 1790781938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790781938 |
Entity Type | Individual |
Full Name | DR. INDRA SRIRAM |
Other Name | INDRAMBIKAI SRIRAM |
Credential | M.D. |
Practice Address |
168 Carolina Ridge Dr Columbia SC 29229-7396 |
Practice Telephone | 2606024645 |
Mailing Telephone | 2606024645 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2014-07-10 |
NPI Deactivation Date | 03/15/2006 |
NPI Reactivation Date | 2006-03-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
MMD.36130 MD | SC | Allopathic & Osteopathic Physicians |
N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
01040404 | IN | Allopathic & Osteopathic Physicians |
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
01040404 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100439910 | 05 |
Street Address |
168 CAROLINA RIDGE DR |
City | COLUMBIA |
State | SC |
Zip Code | 29229-7396 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
Find all providers in zip 29229 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104025782 | Prishal Chetty Holloway | Internal Medicine | 1228 Harden St, Columbia, SC 29204-1800 | 2007-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295856557 | Gossie Colette Heath Mathis | Internal Medicine | 130 Plaza Cir, Santee, SC 29142-9630 | 2007-04-03 |
1922235787 | Candice A Thornton | Internal Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2009-06-18 |
1851550487 | Carole Irene Mercer | Internal Medicine | 312 Harrison Bridge Rd, Simpsonville, SC 29680 | 2008-06-09 |
1306946561 | Heather Alexis Moreira | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-25 |
1396845103 | Stefanie Marie Putnam | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-22 |
1467551788 | Jeffrey Austin Gerac | Internal Medicine | 701 Grove Rd, 5th Floor, Greenville, SC 29605-5611 | 2006-09-22 |
1902906712 | Jeremy Michael Byrd | Internal Medicine | 727 Se Main St, Suite 320, Simpsonville, SC 29681-3247 | 2006-09-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.