Individual
TG SRIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(804) 651-3313
Mailing address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(804) 651-3313
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME125281
FL
Other
Enumeration date
01/24/2006
Last updated
03/17/2018
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