Individual
SIVASUPIRAMANIAM SRIHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 W NEWBERRY RD STE 206, GAINESVILLE, FL 32605-4391
(352) 331-3583
(352) 331-3669
Mailing address
6400 W NEWBERRY RD, SUITE 206, GAINESVILLE, FL 32605
(352) 331-3583
(352) 331-3669
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME119130
FL
Other
Enumeration date
03/02/2006
Last updated
09/25/2017
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