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NPI Code Detail

MEDICARE: DR. NEERAJ SRIRAM MD

MEDICARE: DR. NEERAJ SRIRAM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician61372TN
2207LP2900XPain Medicine (Anesthesiology) Physician87630SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467849943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEERAJ SRIRAM MD
Provider Business Mailing Address
First Line : 2611 FOREST DR STE 200
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2371
Country : US
Telephone Number : 803-779-3263
Fax Number : 803-779-3207
Provider Business Practice Location Address
First Line : 2611 FOREST DR STE 200
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2371
Country : US
Telephone Number : 803-779-3263
Fax Number : 803-779-3207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2015
Last Update Date : 09/16/2022

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Directions to “ DR. NEERAJ SRIRAM MD” Practice Location

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