Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. INDRA SRIRAM, M.D.
DeactivatedAllergy & Immunology · COLUMBIA, SC
This NPI has been deactivated.
The record was deactivated on March 15, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1790781938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2005 (0.72876712328767 yrs)
- Last Updated
- Jul 10, 2014
- Deactivated
- Mar 15, 2006
- Licenses
-
01040404 (IN)01040404 (IN)MMD.36130 MD (SC)
Practice Information
- Address
-
168 CAROLINA RIDGE DRCOLUMBIA, SC, 292297396Browse SC providers · Browse ZIP 29229
- Phone
- 2606024645
- Primary Specialty
-
Allergy & Immunology
207RA0000X
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Allergy & Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.