SUGANDHI SRIDHARAN (NPI# 1033173794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033173794 |
| Entity Type | Individual |
| Full Name | SUGANDHI SRIDHARAN |
| Credential | MD |
| Practice Address |
1541 Gull Rd Suite 100 Kalamazoo MI 49048-1639 |
| Practice Telephone | 2693817380 |
| Practice Fax Number | 2693414562 |
| Mailing Telephone | 2693817380 |
| Mailing Fax Number | 2693414562 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301084666 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4778322 | 05 |
| Street Address |
1541 GULL RD SUITE 100 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457331183 | Richard A Dirrenberger | Neurological Surgery | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 | 2006-01-19 |
| 1497295984 | Amanda Jo Johnson | Physician Assistant | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 | 2017-03-02 |
| 1144591629 | Beverly Renae Deblecourt | Nurse Practitioner | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 | 2012-01-16 |
| 1801060397 | Anthony Lee | Psychiatry & Neurology | 1541 Gull Rd, Ste 100, Kalamazoo, MI 49048-1644 | 2008-04-16 |
| 1881716959 | Hunter Geoffrey Brumblay | Neurological Surgery | 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 | 2007-04-06 |
| 1093812349 | Eriks Antons Lusis | Neurological Surgery | 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 | 2006-09-20 |
| 1174540116 | Connie L Van Es | Nurse Practitioner | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 | 2006-07-16 |
| 1316994577 | Premier Medical Care | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-05-30 |
| 1396709523 | Fayyaz Mahmood | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-14 |
| 1326001496 | Igor G Kaps | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124075957 | Phillip M Green | Psychiatry & Neurology | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-05-27 |
| 1831179407 | Kelly D Ybema | Psychiatry & Neurology | 1541 Gull Rd Ste 100, Kalamazoo, MI 49048-1645 | 2006-01-19 |
| 1437663150 | Kristy Lynn Vanbeek | Psychiatry & Neurology | 601 John St Ste M-124, Kalamazoo, MI 49007-5377 | 2017-11-17 |
| 1124413034 | Cristopher Kaps | Psychiatry & Neurology | 1541 Gull Rd Ste 100, Kalamazoo, MI 49048-1645 | 2015-03-30 |
| 1457611956 | John Paul Bunka | Psychiatry & Neurology | 601 John St Ste M-124, Kalamazoo, MI 49007-5377 | 2012-05-18 |
| 1073831681 | Yanny Phillips | Psychiatry & Neurology | 601 John St, Suite M-124, Kalamazoo, MI 49007-5341 | 2010-05-06 |
| 1801060397 | Anthony Lee | Psychiatry & Neurology | 1541 Gull Rd, Ste 100, Kalamazoo, MI 49048-1644 | 2008-04-16 |
| 1043410384 | Martinson Arnan | Psychiatry & Neurology | 601 John St, Suite M124, Kalamazoo, MI 49007-5341 | 2007-07-24 |
| 1316994577 | Premier Medical Care | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-05-30 |
| 1396709523 | Fayyaz Mahmood | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-14 |
| Find all providers in KALAMAZOO | ||||
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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.