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Individual

SRIRAM DASARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C202461
CA
208800000X
Urology Physician
MD0000037489
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3886171
TN
01
4064639
BC
01
64072762
KY MCD
01
P00033877
RR MC
Enumeration date
03/29/2006
Last updated
11/13/2025
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