| Doctor Name: | SRIDHAR NILAM |
| NPI Number: | 1013338052 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 270638 |
| Business Practice Address: | 1408 Sweet Home Rd Suite 9 Amherst, NY - 142282783 |
| Business Phone Number: | 7162475281 |
| Business Fax Number: | |
| Mailing Address: | 115 Spring Meadow Dr, Apt #8 WILLIAMSVILLE |
| State: | NY |
| Postal Code: | 142218425 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2013 |
| NPI Last Update Date: | 12/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 270638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |