DR. SREE HARSHA KATRAGADDA (NPI# 1356633192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356633192 |
| Entity Type | Individual |
| Full Name | DR. SREE HARSHA KATRAGADDA |
| Credential | M.D |
| Practice Address |
912 S Wood St Chicago IL 60612-4300 |
| Practice Telephone | 3129964968 |
| Practice Fax Number | 3124137856 |
| Mailing Telephone | 3129964968 |
| Mailing Fax Number | 3124137856 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
036146695 | IL | Allopathic & Osteopathic Physicians |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
036146698 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
912 S WOOD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689622029 | Teresa Lupa Sripada | Psychiatry & Neurology | 912 S Wood St, M/c 912, Chicago, IL 60612-4300 | 2006-05-05 |
| 1023624764 | Dilip K Pandey | Specialist | 912 S Wood St, Chicago, IL 60612-4300 | 2020-09-18 |
| 1689287724 | Natania A Crane | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2020-08-28 |
| 1295375244 | Jennifer Week | Social Worker | 912 S Wood St, Chicago, IL 60612-4300 | 2020-01-07 |
| 1902367899 | Mathew Margolis | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2019-03-25 |
| 1982164869 | Jaclyn Sara Weisman | Psychologist | 912 S Wood St, Chicago, IL 60612 | 2019-03-25 |
| 1649730169 | Alexandra Moran Thomas | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2019-03-21 |
| 1447766209 | Tory Anne Eisenlohr-moul | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2017-12-15 |
| 1932622420 | Sylvia Herbozo | Psychologist | 912 S Wood St, Chicago, IL 60612-4300 | 2017-07-17 |
| 1194253310 | Sushant Puri | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2017-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013141803 | Ishani Harsh Dalal | Psychiatry & Neurology | 680 N Lake Shore Dr Ste 800, Chicago, IL 60611-8701 | 2009-05-07 |
| 1790953388 | Sarz Maxwell | Psychiatry & Neurology | 1020 W Ardmore Ave, #104, Chicago, IL 60660-3700 | 2008-02-15 |
| 1588872055 | Babatunde Gbolade Okuleye | Psychiatry & Neurology | 200 S Michigan Avenue, Suite 710, Chicago, IL 60604-2403 | 2007-05-18 |
| 1134243942 | Sheldon S. Greenberg, M.d., S.c. | Psychiatry & Neurology | 2835 North Sheffield Ave., Suite 200, Chicago, IL 60657-5083 | 2007-03-19 |
| 1851645964 | Pilsen Psychiatric Clinic & Associates, LLC | Psychiatry & Neurology | 1870 S Blue Island Ave, Chicago, IL 60608-3013 | 2012-10-29 |
| 1417225152 | Anish John | Psychiatry & Neurology | 680 N Lake Shore Dr Ste 800, Chicago, IL 60611-8701 | 2011-12-08 |
| 1255586103 | Benjamin Stephan | Psychiatry & Neurology | 2525 S Michigan Ave, B-522, Chicago, IL 60616-2333 | 2008-11-19 |
| 1629190665 | Virgilio Arenas | Psychiatry & Neurology | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-04-03 |
| 1154407658 | Joe Nathaniel Sangster Sr. | Psychiatry & Neurology | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-10-27 |
| 1396752721 | Jeffrey David Roth | Psychiatry & Neurology | 25 E Washington St, Suite 1811, Chicago, IL 60602-1708 | 2006-08-01 |
| Find all providers in CHICAGO | ||||
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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.