Individual
DR. NEERAJ SRIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2611 FOREST DR STE 200, COLUMBIA, SC 29204-2371
(803) 779-3263
(803) 779-3207
Mailing address
2611 FOREST DR STE 200, COLUMBIA, SC 29204-2371
(803) 779-3263
(803) 779-3207
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
61372
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
87630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q059420
—
TN
Enumeration date
04/22/2015
Last updated
09/16/2022
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