Individual
SRIRAM DASARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
752 MEDICAL CENTER CT STE 101, CHULA VISTA, CA 91911-6659
(619) 397-4500
(858) 429-7931
Mailing address
752 MEDICAL CENTER CT STE 101, CHULA VISTA, CA 91911-6659
(615) 250-9200
(619) 397-4500
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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