DR. SREEDHAR P. RAO (NPI# 1902884547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902884547 |
| Entity Type | Individual |
| Full Name | DR. SREEDHAR P. RAO |
| Credential | M.D. |
| Practice Address |
450 Clarkson Ave Suite B4-333 Brooklyn NY 11203-2056 |
| Mailing Address |
450 Clarkson Ave Box 1262 Brooklyn NY 11203-2056 |
| Practice Telephone | 7182704714 |
| Practice Fax Number | 7182701985 |
| Mailing Telephone | 7182708867 |
| Mailing Fax Number | 7182701794 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
115364-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00212602 | 05 |
| Street Address |
450 CLARKSON AVE SUITE B4-333 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888013 | David Landman | Internal Medicine | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2005-06-01 |
| 1215537345 | Stephanie Galbert | Nurse Practitioner | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-10-28 |
| 1972118560 | Juveria Ansar Peshimam | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-10 |
| 1285248831 | Khawar Nawaz | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1871107458 | Sneha Naidu Gade | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1063025641 | Vaibhaviben Solanki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1548873961 | Bhesh Raj Karki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1174136717 | Cyrilee Maud Thompson | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-24 |
| 1215548953 | Maximillian Anderson Weigelt | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-16 |
| 1417568106 | Kereisha Nicole Donegal | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568478964 | Mmc Pediatric Hematology Oncology | Pediatrics | 6300 8th Avenue, Brooklyn, NY 11220 | 2006-07-31 |
| 1902801103 | Ludovico Guarini | Pediatrics | 948 48th St, Brooklyn, NY 11219-2918 | 2005-06-15 |
| 1093071201 | Sheera Minkowitz | Pediatrics | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2012-04-02 |
| 1720355928 | Arpan A Sinha | Pediatrics | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2011-11-16 |
| 1528228343 | Aziza S Sedrak | Pediatrics | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2008-06-16 |
| 1790876126 | Kusum Viswanathan | Pediatrics | 1 Brookdale Plz, Suite # 346, Brooklyn, NY 11212-3139 | 2006-09-28 |
| 1003892902 | Ninad Desai | Pediatrics | 451 Clarkson Ave, Kings County Hospital Center; B 6202, Brooklyn, NY 11203-2057 | 2005-12-22 |
| 1982689741 | Scott T. Miller | Pediatrics | 450 Clarkson Ave, B4-333, Brooklyn, NY 11203-2056 | 2005-12-14 |
| 1194710574 | Shipra Kaicker | Pediatrics | 948 48th St, Brooklyn, NY 11219-2918 | 2005-09-13 |
| 1811998883 | Herold Duroseau | Pediatrics | 506 6th Street, Brooklyn, NY 11215 | 2005-08-02 |
| Find all providers in BROOKLYN | ||||
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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.