DR. KANAKA SRIRAM (NPI# 1528188471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528188471 |
| Entity Type | Individual |
| Full Name | DR. KANAKA SRIRAM |
| Other Name | MRS. KANAKAVALLI SUBRAMANIAN |
| Credential | D.D.S. |
| Practice Address |
410 Maple Ave W Ste 2 Vienna VA 22180-4224 |
| Practice Telephone | 7032552326 |
| Practice Fax Number | 7032552325 |
| Mailing Telephone | 7032552326 |
| Mailing Fax Number | 7032552325 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401007621 | VA | Dental Providers |
| Street Address |
410 MAPLE AVE W STE 2 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847520 | Tala Khayyer | Dentist | 2026 Hunter Mill Rd, Vienna, VA 22181-2805 | 2019-12-03 |
| 1942795570 | Valerie Danielle Lascala | Dentist | 120 Beulah Rd Ne Ste 120, Vienna, VA 22180-4745 | 2018-06-26 |
| 1770003279 | Jhosdyn Barragan | Dentist | 8150 Leesburg Pike Ste 900, Vienna, VA 22182-7700 | 2017-06-26 |
| 1750734638 | Nima Moradi Majd | Dentist | 2671 Avenir Pl Apt 1420, Vienna, VA 22180-6775 | 2016-07-15 |
| 1023404928 | Mielad Abady | Dentist | 8230 Leesburg Pike Ste 730, Vienna, VA 22182-2641 | 2015-04-08 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1497033302 | Divya R Sankepally | Dentist | 410 Pine St Se Ste 100, Vienna, VA 22180-4861 | 2011-07-26 |
| 1700017589 | Mohammad Elkhateeb | Dentist | 2230 Gallows Rd Ste 320, Vienna, VA 22027-1101 | 2009-07-28 |
| 1245476498 | Man Shu | Dentist | 8296 Old Courthouse Rd Ste A, Vienna, VA 22182-3852 | 2008-12-18 |
| 1609024199 | Neal R Emad | Dentist | 307 Maple Ave W Ste F, Suite#100, Vienna, VA 22180-4307 | 2008-09-09 |
| Find all providers in VIENNA | ||||
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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.