KRISHNA SUDHIR AYYAGARI


Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: 2604322297

KRISHNA SUDHIR AYYAGARI (NPI# 1336400019) 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) 1336400019
Entity Type Individual
Full Name KRISHNA SUDHIR AYYAGARI
Credential MD
Practice Address 7950 W Jefferson Blvd
Fort Wayne
IN 46804-4140
Mailing Address Po Box 2129
Odessa
TX 79760-2129
Practice Telephone 2604322297
Practice Fax Number 2604792950
Mailing Telephone 4326402408
Mailing Fax Number 4326404606
Enumeration Date 2012-05-30
Last Update Date 2020-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
01078603A IN Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
R4185 TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 W 4th St, Odessa, TX 797615001 4326404000 4326404606
85 E Us Highway 6, Valparaiso, IN 463838947 2194649054 2194651749

Office Location

Street Address 7950 W JEFFERSON BLVD
City FORT WAYNE
State IN
Zip Code 46804-4140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760486187 Heather J. Wolfe Pediatrics 7950 W Jefferson Blvd, Suite 212, Fort Wayne, IN 46804-4140 2005-06-13
1831798354 Dorian Raymone Tate Nurse Anesthetist, Certified Registered 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-10-26
1528665585 Alexis Kate Felger Nurse Practitioner 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-10-02
1114534054 Mary Catherine Richter Specialist/Technologist, Other 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 2020-09-24
1538778386 Lori Elizabeth Jackson Registered Nurse 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 2020-07-28
1831708965 Anna N. Kemler Nurse Practitioner 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-07-24
1699383307 David James Mansfield Registered Nurse 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-07-20
1932726452 Joseph Egbert Registered Nurse 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-06-30
1245851872 Lauren Tirey Occupational Therapist 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 2020-05-05
1609415421 Mikhaila Sailor Dietitian, Registered 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 2019-12-26
Find all providers in the same location

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 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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
1235481755 Dedrick K. Bowe Internal Medicine 800 Broadway Ste 204, Fort Wayne, IN 46802-2149 2012-10-08
1912032434 Brian Allen Youn Internal Medicine 821 S Scott Rd, Fort Wayne, IN 46814-9398 2007-02-23
1417984063 Chuck G Nwakanma Internal Medicine 2200 Randallia Dr., Fort Wayne, IN 46805-4738 2006-06-27
1104874452 Srinivasan Devanathan Internal Medicine 8028 Carnegie Blvd., Suite 600, Fort Wayne, IN 46804-5790 2006-05-05
1457353591 Jean M Weaver Internal Medicine 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025 2005-08-10
1194135939 Mohamed Mahfoud Internal Medicine 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 2014-05-01
1508207713 Fabian Alexander Lemp Internal Medicine 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2013-07-16
1093154635 Kevin Sun Internal Medicine 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2013-06-17
1184979882 Nikki Mo Wynn Internal Medicine 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2012-07-18
1730472945 Armais V. Akovbyan Internal Medicine 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2011-05-20
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

Improve Information

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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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