DR. INDRA SRIRAM


Address: 168 Carolina Ridge Dr, Columbia, SC 29229-7396
Phone: 2606024645

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN 100439910 05

Office Location

Street Address 168 CAROLINA RIDGE DR
City COLUMBIA
State SC
Zip Code 29229-7396

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy 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.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104025782 Prishal Chetty Holloway Internal Medicine 1228 Harden St, Columbia, SC 29204-1800 2007-07-13

Providers in the same taxonomy and state

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

Competitor

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City COLUMBIA
Zip Code 29229

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Dataset Information

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.

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