Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D83897 | MD |
NPI | 1093078222 |
---|---|
Provider Name | Dr. Preethi Sriram |
First Address | Glen Burnie, MD 21061-5706 |
Second Address | Glen Burnie, MD 21061-5706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 06/11/2019 |