Sridevi Gavirneni (NPI# 1366545543, PAC ID# 8628026697) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1366545543 |
| PAC ID by PECOS | 8628026697 |
| Professional Enrollment ID | I20050106000156 |
| Full Name | Sridevi Gavirneni |
| Organization Legal Name | STATE OF MISSOURI |
| Address |
10695 Bellefontaine Rd Saint Louis MO 63137-2315 |
| Phone Number | 3142649100 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | NEUROLOGY |
| Group Practice PAC ID | 1456254226 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10695 Bellefontaine Rd, Saint Louis, MO 63137-2315 | 3142649100 | STATE OF MISSOURI |
| 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 | 3147731822 | CLINICAL RESEARCH ASSOCIATES PC |
| Organization Legal Name | STATE OF MISSOURI |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelynn R Crawford | Nurse Practitioner | State of Missouri | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 |
| Erich Haezebrouck | Psychologist, Clinical | State of Missouri | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 |
| Ralph Leigh | Emergency Medicine | State of Missouri | 1010 W Columbia St, Farmington, MO 63640-2902 |
| Mark A Felchlia | Psychologist, Clinical | State of Missouri | 5300 Arsenal St, Saint Louis, MO 63139-1463 |
| Preston B Howerton | Internal Medicine | State of Missouri | 1547 Commerce Dr, Marshall, MO 65340-3907 |
| Lewis Peck Shilane | Family Practice | State of Missouri | 2041 E Hunter St Ab, Nevada, MO 64772-8478 |
| Amalakumar Dominic Augustine | Internal Medicine | State of Missouri | 22 Marr Ln, Saint Charles, MO 63303-9000 |
| Brandy Baczwaski | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| William R Enochs | Psychiatry | State of Missouri | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 |
| Michael G Maurizi | Psychiatry | State of Missouri | 1547 Commerce Dr, Marshall, MO 65340-3907 |
| Street Address |
10695 BELLEFONTAINE RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63137-2315 |
| City | SAINT LOUIS |
| Zip Code | 63137 |
| Specialty | PSYCHIATRY |
| City + Specialty | SAINT LOUIS + PSYCHIATRY |
Please comment or provide details below to improve the information on Sridevi Gavirneni.
| 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.