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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639217193 | NPPES |
Virginia | MEDICAID | 004945352 | |
Virginia | MEDICAID | 021365300 |
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