SUDARSANA BHARADWAJ SRIVANGIPURAM (NPI# 1982138988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982138988 |
Entity Type | Individual |
Full Name | SUDARSANA BHARADWAJ SRIVANGIPURAM |
Credential | MD |
Practice Address |
2525 W University Ave Suite 401 Iu Health Ball Memorial Hospital Muncie IN 47303 |
Practice Telephone | 7657474306 |
Mailing Telephone | 7657474306 |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
2525 W UNIVERSITY AVE SUITE 401 IU HEALTH BALL MEMORIAL HOSPITAL, |
City | MUNCIE |
State | IN |
Zip Code | 47303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295739100 | Paul B Stewart | Surgery | 2525 W University Ave, Ste 403, Muncie, IN 47303-3409 | 2005-06-08 |
1043818396 | Jessica Lynn Handy | Registered Nurse | 2525 W University Ave, Muncie, IN 47303-3421 | 2020-10-09 |
1518502541 | Shelby Nicole Laflash | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2019-11-13 |
1174164503 | Kasey L Ely | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2019-10-07 |
1508390592 | Pavan K Patel | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-17 |
1639603947 | Akshita Patel | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-13 |
1831622737 | Sindhu Priya Devarashetty | Student in an Organized Health Care Education/Training Program | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-06 |
1053861500 | Rachel L Hency | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2016-10-08 |
1841647260 | Richard Uy | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2016-05-16 |
1063887438 | Pavilion Pediatric Center, LLC | Pediatrics | 2525 W University Ave, Suite 404, Muncie, IN 47303-3421 | 2015-12-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
Find all providers in zip 47303 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
1154855229 | Unknown Harmanjot | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303-3433 | 2017-04-17 |
1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
1255703625 | Gabrielle Perryman | Student in an Organized Health Care Education/Training Program | 3755 N Marleon Dr, Muncie, IN 47304-7819 | 2015-10-26 |
1467823658 | Aubree Block | Student in an Organized Health Care Education/Training Program | 2313 W Sheffield Dr, Muncie, IN 47304-1262 | 2015-10-13 |
1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
1679700918 | So Ra Kim | Student in an Organized Health Care Education/Training Program | 405 S Morrison Rd, Apt # 99, Muncie, IN 47304-4043 | 2009-06-13 |
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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.