Individual
JAYANTH SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6391
Mailing address
320 LEUCADENDRA DR, CORAL GABLES, FL 33156-2329
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME128049
FL
207W00000X
Ophthalmology Physician
TRN15331
FL
Other
Enumeration date
01/07/2011
Last updated
08/26/2016
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