DR. SREENIVAS MANNAM (NPI# 1629001334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629001334 |
| Entity Type | Individual |
| Full Name | DR. SREENIVAS MANNAM |
| Credential | M.D. |
| Practice Address |
1345 Willowdale Ct Flint MI 48532-4736 |
| Practice Telephone | 8107205130 |
| Practice Fax Number | 8107204661 |
| Mailing Telephone | 8107205130 |
| Mailing Fax Number | 8107204661 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301058532 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1345 WILLOWDALE CT |
| City | FLINT |
| State | MI |
| Zip Code | 48532-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396043493 | Jill Marie Zaske | Nurse Practitioner | 1345 Willowdale Ct, Flint, MI 48532-4737 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785561 | Digestive Health Clinic | Internal Medicine | 2486 Nerredia St Ste A, Flint, MI 48532-4807 | 2018-10-11 |
| 1982015228 | Access Family Gastroenterology Pllc | Internal Medicine | G-1125 Linden Rd, Suite 500, Flint, MI 48532 | 2014-05-08 |
| 1770662553 | Mamoon M Elbedawi | Internal Medicine | 1335 S Linden Rd Ste B, Flint, MI 48532-3420 | 2006-11-03 |
| 1447271515 | Digestive Diseases & Clinical Nutrition Center, PC | Internal Medicine | 1345 Willowdale Ct Ste A, Flint, MI 48532-4736 | 2006-07-22 |
| 1235165481 | Mustafa Alnounou | Internal Medicine | 5059 Villa Linde Pkwy, Suite 28, Flint, MI 48532-3438 | 2006-06-22 |
| 1144292038 | Dilip M Desai | Internal Medicine | 6240 Rashelle Dr, Suite 201, Flint, MI 48507-3934 | 2006-02-03 |
| 1780655225 | Balvant Kurji Ganatra | Internal Medicine | G5154 Miller Rd, Ste A B, Flint, MI 48507 | 2006-02-01 |
| 1346620846 | Ascension Genesys Hospital | Internal Medicine | 420 S Saginaw St, Flint, MI 48502-1803 | 2015-06-01 |
| 1003244120 | Mid Michigan Gastroenterology Associates | Internal Medicine | 1335 S Linden Rd Ste B, Flint, MI 48532-3420 | 2013-10-29 |
| 1497040893 | The Digestive Disease Institute, P.C. | Internal Medicine | 5059 Villa Linde Pkwy, Suite 28, Flint, MI 48532-3438 | 2011-06-14 |
| Find all providers in FLINT | ||||
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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.