Provider Demographics
NPI:1104828805
Name:BHARAM, SRINO (MD)
Entity Type:Individual
Prefix:DR
First Name:SRINO
Middle Name:
Last Name:BHARAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:130 E 77TH ST
Mailing Address - Street 2:BLACK HALL 8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1851
Mailing Address - Country:US
Mailing Address - Phone:212-691-3535
Mailing Address - Fax:212-691-6370
Practice Address - Street 1:130 E 77TH ST
Practice Address - Street 2:BLACK HALL 8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1851
Practice Address - Country:US
Practice Address - Phone:212-691-3535
Practice Address - Fax:212-691-6370
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2013-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY203659207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH17106Medicare UPIN