DR. SRIDEVI SULLIVAN


Address: 1611 Cambridge St, Cambridge, MA 02138-4302
Phone: 6176615585

DR. SRIDEVI SULLIVAN (NPI# 1154397545) 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) 1154397545
Entity Type Individual
Full Name DR. SRIDEVI SULLIVAN
Other Name DR. SRIDEVI REDDY
Credential MD
Practice Address 1611 Cambridge St
Cambridge
MA 02138-4302
Mailing Address 147 Milk St
Boston
MA 02109-4806
Practice Telephone 6176615585
Practice Fax Number 6176615107
Enumeration Date 2006-02-24
Last Update Date 2016-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 36099862 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1611 CAMBRIDGE ST
City CAMBRIDGE
State MA
Zip Code 02138-4302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598747412 Margaret Rose Barsam Pediatrics 1611 Cambridge St, Cambridge, MA 02138-4302 2005-11-16
1295218501 Seema Mitesh Patel Pharmacist 1611 Cambridge St, Cambridge, MA 02138-4302 2018-09-12
1104311737 Maura Jean Dipietro Registered Nurse 1611 Cambridge St, Cambridge, MA 02138-4302 2018-06-26
1841678299 Atrius Health, Inc. Chiropractor 1611 Cambridge St, Cambridge, MA 02138-4302 2015-05-18
1851725246 Natalie Ann Briggs Physical Therapist 1611 Cambridge St, Cambridge, MA 02138-4302 2013-08-21
1437494267 Clarence Theodore Dennis Nurse Practitioner 1611 Cambridge St, Cambridge, MA 02138-4302 2012-12-05
1043561616 Bronwyn Kate Mastrangelo Physician Assistant 1611 Cambridge St, Cambridge, MA 02138-4302 2012-09-24
1821347865 Kathryn Marie Kahn Registered Nurse 1611 Cambridge St, Cambridge, MA 02138-4302 2012-09-06
1316295801 Jacqueline Marie Burke Pharmacist 1611 Cambridge St, Cambridge, MA 02138-4302 2012-08-15
1821373671 David Johnson Nurse Practitioner 1611 Cambridge St, Harvard Vanguard Medical Associates, Bh Dept., Cambridge, MA 02138-4302 2011-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618610 Khushboo Vijay Bhatia Student in an Organized Health Care Education/Training Program Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 2020-08-06
1780204156 Ashna Grover Student in an Organized Health Care Education/Training Program 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 2020-04-25
1790330298 Cambridge Periodontics LLC Dentist 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 2019-08-02
1295389765 Yulia Levit Technician/Technologist 1208 Massachussets Av, Cambridge, MA 02138 2019-08-01
1720645393 Chinmay Tusharkumar Jani Student in an Organized Health Care Education/Training Program Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 2019-05-20
1386209831 Alexander Ryan Walker Internal Medicine 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 2019-05-09
1659844868 Aimee Hsieh Social Worker 525 Mount Auburn Street, Cambridge, MA 02138 2019-01-10
1043733389 Armida Fruzzetti Psychologist 900 Concord Avenue, Cambridge, MA 02138 2017-07-19
1174984827 Jenna Mezin Schmid Psychologist 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 2016-03-09
1316313208 Kelly Abbott Optometrist 12 Eliot St., Cambridge, MA 02138 2015-08-14
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740789650 Anne Arundel Physician's Group, LLC Obstetrics & Gynecology 100 Bramble St Ste E&f, Cambridge, MD 21613-2471 2018-02-06
1558773432 Altens Womens Health, LLC Obstetrics & Gynecology 65007 Old 21 Rd, Cambridge, OH 43725 2014-05-27
1316289440 William D Winkelman Obstetrics & Gynecology 725 Concord Ave Ste 1200, Cambridge, MA 02138-1055 2013-03-27
1235424870 Melanie Andree Furtney Christofferson Obstetrics & Gynecology 701 S. Dellwood St., Cambridge, MN 55008 2011-06-11
1558477596 Ellen Marie Biggers Obstetrics & Gynecology 22 North Park Street, Cambridge, NY 12816 2006-08-22
1891775029 Joseph A Binkiewicz Obstetrics & Gynecology 1230 Clark St, Cambridge, OH 43725-9611 2006-01-23
1871563023 Kevin W Alten Obstetrics & Gynecology 64979 Old Twenty One Rd, Cambridge, OH 43725-9619 2006-01-23
1407858913 Mitchell J Levine Obstetrics & Gynecology 186 Alewife Brook Pkwy, Suite 302, Cambridge, MA 02138-1121 2005-08-15
1275949869 Ob/gyn Specialists of Southeastern Ohio, Inc. Obstetrics & Gynecology 1230b Clark St, Cambridge, OH 43725-9611 2014-07-03
1922414515 Ob/gyn Specialists of Southeastern Ohio, Inc. Obstetrics & Gynecology 1230b Clark St, Cambridge, OH 43725-9611 2014-07-03
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Competitor

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City CAMBRIDGE
Zip Code 02138

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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.

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