SRINAND MANDYAM (NPI# 1306162037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306162037 |
| Entity Type | Individual |
| Full Name | SRINAND MANDYAM |
| Credential | MD |
| Practice Address |
455 Philip Blvd Ste 140 Lawrenceville GA 30046-8768 |
| Practice Telephone | 7709623642 |
| Practice Fax Number | 7709623643 |
| Mailing Telephone | 7709623642 |
| Mailing Fax Number | 7709623643 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
70149 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
455 PHILIP BLVD STE 140 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952508665 | Gerald Chai | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2007-06-27 |
| 1689207060 | Taylor Leigh Duncan | Nurse Practitioner | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2020-02-13 |
| 1063994523 | Deborah Wilkens | Registered Nurse | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2018-08-31 |
| 1659738128 | Thomas Cheriyan | Anesthesiology | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2016-01-28 |
| 1295120764 | Adam Gover | Pain Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2015-04-01 |
| 1457694887 | Chad Lee | Pain Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046 | 2013-04-04 |
| 1326392648 | An Duy Do | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2012-11-08 |
| 1679896104 | Steven Tuan Nguyen | Anesthesiology | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2010-03-11 |
| 1992955736 | Purnima Bansal | Family Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2008-09-29 |
| 1861654659 | Jose Mathew | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2008-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790144673 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 4799 Sugarloaf Pkwy, Suite 1500, Lawrenceville, GA 30044-8836 | 2016-02-19 |
| 1356781181 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 455 Philip Blvd, Bldg 100, Ste 140, Lawrenceville, GA 30046-8767 | 2013-06-25 |
| 1740529080 | Princeton Pain and Spine Institute PC | Pain Medicine | 123 Franklin Corner Rd, Suite 104, Lawrenceville, NJ 08648-2526 | 2013-02-06 |
| 1689816860 | Performance Spine & Sports Medicine | Pain Medicine | 4056 Quakerbridge Road, Suite 111, Lawrenceville, NJ 08648-1005 | 2009-04-02 |
| 1578507893 | Dinash Kumar Yanamadula | Pain Medicine | 123 Franklin Corner Rd, Suite 104, Lawrenceville, NJ 08648-2526 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302998 | Apollo Spine and Pain Center | Pain Medicine | 4415 Front Nine Dr, Cumming, GA 30041-6063 | 2020-09-23 |
| 1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
| 1902433147 | Sun Pain Institute LLC | Pain Medicine | 836 E 65th St Ste 38, Savannah, GA 31405-4495 | 2020-03-26 |
| 1679107338 | Atlanta Interventional Pain Management, LLC | Pain Medicine | 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 | 2020-03-02 |
| 1578193355 | Regenerative Spine and Pain Specialists | Pain Medicine | 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 | 2020-01-22 |
| 1437790839 | Specialty Spine and Pain, PC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 | 2019-10-07 |
| 1154962165 | Specialty Spine and Pain, PC | Pain Medicine | 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 | 2019-10-01 |
| 1659912665 | Specialty Spine and Pain, PC | Pain Medicine | 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 | 2019-10-01 |
| 1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
| 1477106771 | Spine Center of Southeast Georgia LLC | Pain Medicine | 52a Lindsey Lane, Kingsland, GA 31548-6855 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.