Organization
CARDINAL PSYCHIATRIC CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAN SRIDARAN D.O. (PHYSICIAN)
(919) 810-8056
Entity
Organization
Contact information
Practice address
125 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 779-3548
Mailing address
107 BURBERRY DR, COLUMBIA, SC 29229-8106
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO1185
SC
Other
Enumeration date
03/28/2012
Last updated
09/06/2012
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