Individual
DR. SANJEEVI GIRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 S MAIN ST, SUITE 1E, ABERDEEN, SD 57401-4136
(605) 225-1010
(605) 225-1017
Mailing address
14 S MAIN ST, SUITE 1E, ABERDEEN, SD 57401-4136
(605) 225-1010
(605) 225-1017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1449
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14559
—
ND
01
—
260012657
RAILROAD MEDICARE
SD
05
—
7101870
—
SD
Enumeration date
12/01/2006
Last updated
07/10/2014
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