DR. SRILATHA KODALI (NPI# 1154397735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154397735 |
| Entity Type | Individual |
| Full Name | DR. SRILATHA KODALI |
| Credential | M.D. |
| Practice Address |
49 Atwood Rd Suite 1 Pelham NH 03076-3719 |
| Mailing Address |
Po Box 434 Pelham NH 03076-0434 |
| Practice Telephone | 6036352802 |
| Practice Fax Number | 6036353070 |
| Mailing Telephone | 6036352802 |
| Mailing Fax Number | 6036353070 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2015-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10537 | NH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 158755 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30200262 | 05 | |
| MA | 3197352 | 05 |
| Street Address |
49 ATWOOD RD SUITE 1 |
| City | PELHAM |
| State | NH |
| Zip Code | 03076-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720531320 | Michelle Connolly | Nurse Practitioner | 49 Atwood Rd, Pelham, NH 03076-3751 | 2016-07-31 |
| 1437445038 | Shannon Melissa Brancieri | Nurse Practitioner | 49 Atwood Rd, Suite 1, Pelham, NH 03076-3751 | 2011-06-22 |
| 1326372947 | Cheresse Nadir | Nurse Practitioner | 49 Atwood Rd, Pelham, NH 03076-3719 | 2009-09-29 |
| 1154477305 | Pelham Healthcare Associates Pllc | Family Medicine | 49 Atwood Rd, Suite 1, Pelham, NH 03076-3719 | 2007-01-28 |
| 1457463093 | Tracy Darlene Hardy | Nurse Practitioner | 49 Atwood Rd, Pelham, NH 03076-3719 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881004778 | James Meniates | Chiropractor | 13 Arlene Drive, Pelham, NH 03076 | 2014-05-01 |
| 1437229093 | Frederick M Bourgeois | Dentist | 43 Bridge St, Pelham, NH 03076 | 2006-11-09 |
| 1588752901 | Maxi Drug North Inc | Pharmacy | Willow Plaza Bridge Street, Pelham, NH 03076 | 2006-10-11 |
| 1841831120 | Khalid El-shewemi | Dentist | 150 Bridge St, Pelham, NH 03076 | 2019-10-08 |
| 1699136036 | Amelia Albright | Dentist | 100 Bridge St, Pelham, NH 03076 | 2016-03-13 |
| 1619354859 | Meredith Kenly | Physician Assistant | 33 Windham Rd, Pelham, NH 03076 | 2015-04-27 |
| 1346412517 | Beth Jennifer Cowie | Dentist | 43 Bridge St, Pelham, NH 03076 | 2008-03-28 |
| 1558431155 | Ronald W Randazzo | Dentist | 43 Bridge St, Pelham, NH 03076 | 2006-11-09 |
| 1821293432 | Nilfa Encarnacion Collins | Dentist | 100 Bridge Street, Pelham, NH 03076-0728 | 2007-06-15 |
| 1386754158 | Brian J Arsenault | Chiropractor | 11 Bridge St, Pelham, NH 03076-0939 | 2006-08-30 |
| Find all providers in zip 03076 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1710272943 | Rachel Andres | Internal Medicine | 20 Gulf Rd, Pelham, MA 01002-9740 | 2011-06-15 |
| 1710138433 | Vaishalee Ramesh Shukla | Internal Medicine | 4773 Boston Post Rd, Pelham, NY 10803-3001 | 2008-10-01 |
| 1346393113 | Doc Medical Practice of Yonkers PC | Internal Medicine | 116 Fifth Ave, Pelham, NY 10803-1504 | 2007-01-18 |
| 1700973989 | Mona Gabbay | Internal Medicine | 145 Seventh Ave, Pelham, NY 10803-1301 | 2006-10-06 |
| 1346204591 | Bhc-cahaba Valley | Internal Medicine | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2006-04-14 |
| 1659349819 | Michael Richard Eicher | Internal Medicine | 2970 Pelham Pkwy, Pelham, AL 35124-1709 | 2006-03-14 |
| 1366436214 | Anitha R Kuchipudi | Internal Medicine | 33 Windham Rd, Pelham, NH 03076-2372 | 2005-09-07 |
| 1750625554 | Foundation Medical Partners Inc. | Internal Medicine | 33 Windham Rd, Pelham, NH 03076-2372 | 2012-11-16 |
| 1336446392 | Diana De Jesus | Internal Medicine | 116 Fifth Ave, Pelham, NY 10803-1504 | 2011-02-27 |
| Find all providers in PELHAM | ||||
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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.