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Individual

AISHWARYA SRIRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
291348
MA
207WX0109X
Neuro-ophthalmology Physician
Primary
ME168271
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128511400
FL
01
IRQ9I
BCBS
FL
Enumeration date
03/21/2018
Last updated
11/15/2025
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