SREEBHAVI PROFESSIONAL CORPORATION (NPI# 1619575487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619575487 |
| Entity Type | Organization |
| Organization Name | SREEBHAVI PROFESSIONAL CORPORATION |
| Practice Address |
340 Hawkins Run Rd Midlothian TX 76065-6638 |
| Practice Telephone | 9725465660 |
| Practice Fax Number | 9727825232 |
| Mailing Telephone | 9725465660 |
| Mailing Fax Number | 9727825232 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DR. VIVEKANAND DASARI (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2012897621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
340 HAWKINS RUN RD |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1538694203 | Alexandra Rose Przybylo | Pediatrics | 11601 Robious Rd Ste 100, Midlothian, VA 23113-5605 | 2017-05-01 |
| 1952756710 | Allie Ojugbeli | Pediatrics | 15400 Westchester Commons Way, Midlothian, VA 23113-7341 | 2016-04-29 |
| 1790078236 | Linden E Foos | Pediatrics | 14507 Forest Row Trl, Midlothian, VA 23112-1637 | 2011-05-17 |
| 1861698342 | Kassandra Jane Phillips | Pediatrics | 2937 Fox Chase Ln, Midlothian, VA 23112-4400 | 2007-06-22 |
| 1841388360 | Barry Seth Auerbach | Pediatrics | 4902 Millridge Pkwy E, Midlothian, VA 23112-4828 | 2006-10-10 |
| 1851321095 | Monette W Wood | Pediatrics | 11601 Robious Rd, Suite 100, Midlothian, VA 23113-5605 | 2006-07-04 |
| 1962457564 | Thenmathi Sivarajan | Pediatrics | 14735 S Pulaski, Midlothian, IL 60445 | 2006-05-23 |
| 1104880038 | Linda A Burk | Pediatrics | 16213 Saville Chase Ln, Midlothian, VA 23112-4585 | 2006-04-17 |
| 1871556878 | Jennifer D. Clark | Pediatrics | 14732 Village Square Pl, Midlothian, VA 23112-2253 | 2006-04-10 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
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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.