SRIVIDYA SRINIVASAN


Address: 1205 S Grange Ave, Ste 401, Sioux Falls, SD 57105-0410
Phone: 6053288120

SRIVIDYA SRINIVASAN (NPI# 1790923100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790923100
Entity Type Individual
Full Name SRIVIDYA SRINIVASAN
Credential MD
Practice Address 1205 S Grange Ave
Ste 401
Sioux Falls
SD 57105-0410
Mailing Address Po Box 5074
Sioux Falls
SD 57117-5074
Practice Telephone 6053288120
Practice Fax Number 6053288121
Enumeration Date 2009-01-23
Last Update Date 2011-12-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
7445 SD Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
44209-20 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 1205 S GRANGE AVE
STE 401
City SIOUX FALLS
State SD
Zip Code 57105-0410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245222 David W Zeigler Internal Medicine 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57105-0410 2005-06-16
1447703962 Jennifer Lynn Newman Nurse Practitioner 1205 S Grange Ave, Mb2, Suite 104, Sioux Falls, SD 57105-0407 2016-08-02
1760835276 Rebecca Krivarchka Nurse Practitioner 1205 S Grange Ave, Suite 104, Sioux Falls, SD 57105-0407 2016-07-20
1992181200 Stacy Rausch Nurse Practitioner 1205 S Grange Ave, Ste 104, Sioux Falls, SD 57105-0407 2015-08-10
1487038774 Jenilee Kludt Pharmacist 1205 S Grange Ave, Suite 103, Sioux Falls, SD 57105-0407 2015-07-16
1285027417 Megan Bell Genetic Counselor, MS 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57103 2015-03-12
1134523350 Lori Buschena Social Worker 1205 S Grange Ave, Suite 510, Sioux Falls, SD 57105-0407 2014-10-17
1275963506 Tiffany Reitsma Nurse Practitioner 1205 S Grange Ave, Ste 104, Sioux Falls, SD 57105-0407 2013-11-22
1942644521 Jenna Sommer Truckenbrod Physician Assistant 1205 S Grange Ave, Suite 201, Sioux Falls, SD 57105-0407 2013-04-25
1649525825 Kerry R Jerke Nurse Practitioner 1205 S Grange Ave, Ste 201, Sioux Falls, SD 57105-0407 2012-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518151562 Jeremy Storm Internal Medicine 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 2007-09-04
1770538084 Infectious Disease Specialists PC Internal Medicine 6709 S Minnesota Ave, Suite 102, Sioux Falls, SD 57108-2592 2006-05-24
1083670343 Bertha S. Ayi Internal Medicine 1205 S Grange Ave Ste 401, Sioux Falls, SD 57105-0410 2006-04-25
1972579118 Jawad Nazir Internal Medicine 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 2006-02-27
1508387820 Avera Mckennan Internal Medicine 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 2017-06-28
1790225266 Storm Clinic, Prof. LLC Internal Medicine 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 2017-03-03
1447697693 Dayana Del Carmen Maita Coronel Internal Medicine 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 2013-05-29
1700172855 Asma S Syed Internal Medicine 6709 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2593 2011-06-27
1093909756 Brian Sabado Pepito Internal Medicine 6709 S Minnesota Ave, Suite 102, Sioux Falls, SD 57108-2592 2007-09-05
1447266853 Sanford Clinic Internal Medicine 1205 S Grange Ave, Suite 401, Sioux Falls, SD 57105-0410 2006-07-31
Find all providers in SIOUX FALLS

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

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.

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