Sriram, Radhika

Sriram, Radhika is an individual health care provider with primary practice located at 1106 Druid Rd S , Clearwater FL 33756-3846. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Sriram, Radhika can be contacted via phone (727) 584-6266.

Contact Information

Primary practice address
1106 Druid Rd S Clearwater FL 33756-3846
Phone: (727) 584-6266
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME127685 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101222014 Virginia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101222014 Virginia

Profile Details

NPI number 1639217193
LBN Legal business name Sriram, Radhika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2007
Last updated Oct 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639217193 NPPES
Virginia MEDICAID 004945352
Virginia MEDICAID 021365300

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