DR. SRINIVASAN DEVANATHAN


Address: 8028 Carnegie Blvd., Suite 600, Fort Wayne, IN 46804-5790
Phone: 2609697100

DR. SRINIVASAN DEVANATHAN (NPI# 1104874452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104874452
Entity Type Individual
Full Name DR. SRINIVASAN DEVANATHAN
Credential M.D.
Practice Address 8028 Carnegie Blvd.
Suite 600
Fort Wayne
IN 46804-5790
Mailing Address 1234 E. Dupont Road
Suite 3
Fort Wayne
IN 46825-1545
Practice Telephone 2609697100
Practice Fax Number 2609697263
Mailing Telephone 2603739700
Mailing Fax Number 2603739740
Enumeration Date 2006-05-05
Last Update Date 2013-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
01059028A IN Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
01059028 IN Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
01059028A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000670561 01
IN 200481860 05
IN R.R. MEDICARE P00867128 01

Office Location

Street Address 8028 CARNEGIE BLVD.
SUITE 600
City FORT WAYNE
State IN
Zip Code 46804-5790

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528265709 Sleep Centers of Fort Wayne LLC Internal Medicine 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 2007-06-29
1497858666 Thomandram Sekar, Md, PC Internal Medicine 2910 Lake Ave, Fort Wayne, IN 46805-5416 2006-09-06
1235183203 Rami S Wali Internal Medicine 2510 E Dupont Rd Ste 108, Fort Wayne, IN 46825-1601 2006-05-22
1174575047 John B Fouts Internal Medicine 1818 Carew St., Suite 110, Fort Wayne, IN 46805-4764 2006-05-17
1386183614 Ahmed M Sharaan Internal Medicine 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025 2017-02-20
1184010050 Martin Engman Internal Medicine 5917 Hallowell Pl, Fort Wayne, IN 46815-6214 2015-04-08
1316386386 Georges Debal Internal Medicine 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 2013-06-22
1043567886 Bharat Bajantri Internal Medicine 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 2012-08-10
1245527803 Fahim Zaman Khan Internal Medicine 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2011-07-05
1831358597 Jennifer Shaffer Internal Medicine 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1730 2008-06-06
Find all providers in FORT WAYNE

Competitor

Search similar providers

City FORT WAYNE
Zip Code 46804

Improve Information

Please comment or provide details below to improve the information on DR. SRINIVASAN DEVANATHAN.

Dataset Information

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.

Trending Searches