Individual
MOHAN SRIDARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4344 BROAD RIVER RD, COLUMBIA, SC 29210-4010
(803) 896-1521
Mailing address
4344 BROAD RIVER RD, COLUMBIA, SC 29210-4010
(803) 896-1521
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO1185
SC
Other
Enumeration date
07/02/2008
Last updated
09/05/2014
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