Pradeep Srikanthan (NPI# 1144603804, PAC ID# 6305159914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144603804 |
| PAC ID by PECOS | 6305159914 |
| Professional Enrollment ID | I20190327000472 |
| Full Name | Pradeep Srikanthan |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
1501 W Elk Ave Elizabethon TN 37643-2874 |
| Phone Number | 4235421300 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440184 | FRANKLIN WOODS COMMUNITY HOSPITAL |
| 440018 | SYCAMORE SHOALS HOSPITAL |
| 440063 | JOHNSON CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1501 W Elk Ave, Elizabethon, TN 37643-2874 | 4235421300 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
1501 W ELK AVE |
| City | ELIZABETHON |
| State | TN |
| Zip | 37643-2874 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Tin-lung Pang-ng | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Shane M Adams | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| William Edward Martin | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| John R Barrowclough | Internal Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Tabitha Justice | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Joshua Brintle | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Christopher Smith | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Leah Merrick | Nurse Practitioner | Southeastern Physician Services PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Sams | Optometry | 114 S Sycamore St, Elizabethton, TN 37643-0001 | |
| Ashley C Baker | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| Victoria Ashley Howard | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| John Francis Holland | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| Stephen Edward Wheeler | Chiropractic | 835 Broad St, Elizabethton, TN 37643-2312 | |
| Charles Peters Iii | Physical Therapy | Champion Physical Therapy LLC | 420 Railroad St, Elizabethton, TN 37643-2504 |
| Kimberly Kay Kleine | Nurse Practitioner | Shc Medical Partners of Tennessee, LLC | 1500 W Elk Ave, Suite 109, Elizabethton, TN 37643-2655 |
| Jessica R Odell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 |
| Prabha Jaishwal Long | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 |
| Sheryl D Pack | Family Medicine | Blue Ridge Medical Management Corporation | 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2872 |
| Find all physicians in zip 37643 | |||
| City | ELIZABETHON |
| Zip Code | 37643 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELIZABETHON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Pradeep Srikanthan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.