SRIDHAR JATLA (NPI# 1891704565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891704565 |
| Entity Type | Individual |
| Full Name | SRIDHAR JATLA |
| Credential | MD |
| Practice Address |
2330 S Dixon Rd Kokomo IN 46902-6411 |
| Mailing Address |
6983 Hillsdale Ct Indianapolis IN 46250-2054 |
| Practice Telephone | 7654558822 |
| Practice Fax Number | 7658653935 |
| Mailing Telephone | 3178498350 |
| Mailing Fax Number | 3175766311 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
01063214A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200903530 | 05 |
| Street Address |
2330 S DIXON RD |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-6411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295727501 | Herbst Apothecary Inc | Pharmacy | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2005-08-22 |
| 1003456864 | Olivia Cecile Cabanban | Physician Assistant | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2020-01-09 |
| 1497219430 | Lashelle M Anderson | Nurse Practitioner | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2019-01-23 |
| 1184197568 | Melanie R Soper | Registered Nurse | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2019-01-08 |
| 1619485786 | Teresa E Kirisits | Registered Nurse | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2018-01-11 |
| 1063957033 | Tiffany A Thacker | Registered Nurse | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2016-12-30 |
| 1144549163 | Danielle Lee Sabatini | Nurse Practitioner | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2010-06-01 |
| 1346479375 | Parminder Wadhwa | Family Medicine | 2330 S Dixon Rd, Kokomo, IN 46902 | 2009-07-12 |
| 1174724207 | Ashish Thapar | Family Medicine | 2330 S Dixon Rd, Kokomo, IN 46902-6400 | 2007-05-29 |
| 1336205806 | Curtis C Bone | Pharmacist | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2006-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750643524 | Neurology and Sleep Medicine Consultants Corp | Psychiatry & Neurology | 815 High St Ste B, Decatur, IN 46733-2351 | 2012-06-08 |
| 1144305400 | Indiana Neuroscience Assoc Inc | Psychiatry & Neurology | 6330 Castleplace Dr # 130, Indianapolis, IN 46250-1902 | 2006-10-26 |
| 1780973073 | Manaf M Zawahreh | Psychiatry & Neurology | 7307 E Columbia St, Ste 101, Evansville, IN 47715-9141 | 2011-04-07 |
| 1487970802 | Soria Neurology and Sleep Care LLC | Psychiatry & Neurology | 10176 W 400 N, Michigan City, IN 46360-9008 | 2010-04-09 |
| 1609000751 | Community Hospitals of Indiana Inc | Psychiatry & Neurology | 7250 Clearvista Drive, Suite 330, Indianapolis, IN 46256-5601 | 2009-05-05 |
| 1205909116 | Indiana Sleep Institute, LLC | Psychiatry & Neurology | 1501 Broadway St, Clarksville, IN 47129-7710 | 2006-11-16 |
| 1609867605 | Allied Physicians Inc | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-10-31 |
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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.