Individual
ASHOK SRIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7104
(616) 267-7594
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 267-7100
(616) 267-7594
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301102511
MI
2084N0400X
Neurology Physician
ME113347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007839300
—
FL
Enumeration date
09/14/2007
Last updated
12/11/2024
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