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Individual

MICHAEL SRINIVASA SRIDHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7060
(864) 797-7065
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
36194
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
361940
SC
Enumeration date
01/16/2008
Last updated
05/20/2021
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