Srinath Tadakamalla (NPI# 1184691305, PAC ID# 8921094624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
Nation Provider ID (NPI) | 1184691305 |
PAC ID by PECOS | 8921094624 |
Professional Enrollment ID | I20041012000941 |
Full Name | Srinath Tadakamalla |
Organization Legal Name | COMPLETE HEALTH CARE SERVICES PA |
Address |
3231 N 61st St Life Care Ctr of Kansas City Kansas City KS 66104-1415 |
Phone Number | 9132991770 |
Gender | M |
Credential | MD |
Graduation Year | 1994 |
Primary Specialty | GERIATRIC MEDICINE |
Group Practice PAC ID | 7012199326 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260095 | CENTERPOINT MEDICAL CENTER |
260097 | WESTERN MISSOURI MEDICAL CENTER |
261324 | CASS REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3231 N 61st St, Life Care Ctr of Kansas City, Kansas City, KS 66104-1415 | 9132991770 | COMPLETE HEALTH CARE SERVICES PA |
Organization Legal Name | COMPLETE HEALTH CARE SERVICES PA |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kourtney Halford | Nurse Practitioner | Complete Health Care Services Pa | 810 E Walnut St, Carmel Hills Health Care and Rehab, Independence, MO 64050-4025 |
Olga Kulbatskaya | Nurse Practitioner | Complete Health Care Services Pa | 3980 E Jackson Dr, Independence, MO 64057-2205 |
Deborah A Meyer | Nurse Practitioner | Complete Health Care Services Pa | 1900 N 70th St, Victory Hills Senior Living, Kansas City, KS 66102-1094 |
Karen Lorraine Parmely | Nurse Practitioner | Complete Health Care Services Pa | 810 E Walnut St, Carmel Hills Health Care and Rehab, Independence, MO 64050-4025 |
Renee D Endicott | Nurse Practitioner | Complete Health Care Services Pa | 810 E Walnut St, Carmel Hills Health Care and Rehab, Independence, MO 64050-4025 |
Nasir Gebi | Nurse Practitioner | Complete Health Care Services Pa | 810 E Walnut St, Carmel Hills Health Care and Rehab, Independence, MO 64050-4025 |
Street Address |
3231 N 61ST ST LIFE CARE CTR OF KANSAS CITY |
City | KANSAS CITY |
State | KS |
Zip | 66104-1415 |
Name | Specialty | Organization | Address |
---|---|---|---|
George J Bures Jr. | Family Medicine | Swope Health Services | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 |
Kylie I Gaustad | Nurse Practitioner | Swope Health Services | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 |
Brady W Hanson | Family Medicine | Swope Health Services | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 |
Marvin L Mcintosh | Family Practice | Community House of Wellness | 1121 Quindaro Blvd, Kansas City, KS 66104-5331 |
City | KANSAS CITY |
Zip Code | 66104 |
Specialty | GERIATRIC MEDICINE |
City + Specialty | KANSAS CITY + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Srinath Tadakamalla.
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.