DR. KOLLAGUNTA SREENIVASA CHANDRASEKHAR


Address: 320 1st St N, Winter Haven, FL 33881-4113
Phone: 8635081101

DR. KOLLAGUNTA SREENIVASA CHANDRASEKHAR (NPI# 1396713491) 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) 1396713491
Entity Type Individual
Full Name DR. KOLLAGUNTA SREENIVASA CHANDRASEKHAR
Credential M.D.
Practice Address 320 1st St N
Winter Haven
FL 33881-4113
Practice Telephone 8635081101
Practice Fax Number 8632996158
Mailing Telephone 8635081101
Mailing Fax Number 8632996158
Enumeration Date 2006-03-14
Last Update Date 2017-01-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
ME64020 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BC BS 18806 01
FL 372983400 05

Office Location

Street Address 320 1ST ST N
City WINTER HAVEN
State FL
Zip Code 33881-4113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255315818 David B Simmons Internal Medicine 320 1st St N, Winter Haven, FL 33881-4113 2005-12-06
1073151064 Radiology & Imaging Specialists of Lakeland, Pa Surgery 320 1st St N, Winter Haven, FL 33881-4113 2019-12-20
1043630288 Comprehensive Cardiovascular Specialists LLC Internal Medicine 320 1st St N, Winter Haven, FL 33881-4113 2014-04-25
1366707606 Cynthia Louise Wolford Nurse Practitioner 320 1st St N, Winter Haven, FL 33881-4113 2012-07-12
1013244169 Ashish Shah Md LLC Specialist 320 1st St N, Winter Haven, FL 33881-4113 2009-11-11
1316180300 Carolyn D. Pass, M.d., P.a. Specialist 320 1st St N, Winter Haven, FL 33881-4113 2009-04-07
1487823274 Winter Haven Cardiology Pa Specialist 320 1st St N, Winter Haven, FL 33881-4113 2008-02-26
1013191444 Cypress Cardiology Pa Specialist 320 1st St N, Winter Haven, FL 33881-4113 2007-12-20
1740240837 Gary R Johnson Internal Medicine 320 1st St N, Winter Haven, FL 33881-4113 2006-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114534476 Ctc's Heart of Caring, Inc In Home Supportive Care 2995 Eagle Nest View Drive, Winter Haven, FL 33881 2020-09-29
1356813869 Michael Thomas Wiernicki Dentist 1074 Spring Lake Plaza, Winter Haven, FL 33881 2018-12-21
1659862423 Patricia Pelt Social Worker 3073 Buckeye Point Dr, Winter Haven, FL 33881 2018-05-28
1952891244 Ansley Health LLC Home Health 1502 6th Ct Ne, Winter Haven, FL 33881 2018-05-14
1346699261 Yovanka Zapata Specialist/Technologist, Other 5856 Windrigde Dr., Winter Haven, FL 33881 2016-06-10
1720415599 Villa Pharmacy LLC Pharmacy 105 Avenue R Nw, Winter Haven, FL 33881 2013-10-10
1992149397 Nic 5 Spring Haven Leasing LLC Assisted Living Facility 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 2013-04-29
1780938225 Penelope Sturdevant Nurse Practitioner 2791 Lake Alfred Rd., Winter Haven, FL 33881 2012-11-06
1649548165 Tim R Acree Non-emergency Medical Transport (VAN) 2 Eagles Nest, Winter Haven, FL 33881 2011-12-12
1285899419 Adjustment and Awareness Counseling Community/Behavioral Health 243 3rd St Nw, Winter Haven, FL 33881 2008-07-28
Find all providers in zip 33881

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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
1215339817 Mid Florida Cardiovascular Center, LLC Internal Medicine 209 Ruby Lake Ln, Winter Haven, FL 33884-3267 2014-09-25
1043630288 Comprehensive Cardiovascular Specialists LLC Internal Medicine 320 1st St N, Winter Haven, FL 33881-4113 2014-04-25
1932480688 Muhammad Mustafa Internal Medicine 500 E Central Ave, Winter Haven, FL 33880-3053 2011-09-07
1043480361 Siva K. Bhashyam Internal Medicine 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 2008-03-03
1356525596 Javier Acevedo Internal Medicine 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 2007-12-24
1487611299 Zaheed Tai Internal Medicine 635 1st St N, Winter Haven, FL 33881-4129 2006-04-26
1740240837 Gary R Johnson Internal Medicine 320 1st St N, Winter Haven, FL 33881-4113 2006-03-24
1760450902 Randall B Kramer Internal Medicine 635 1st St N, Winter Haven, FL 33881-4129 2006-03-14
1285632265 Edgar H Willard Internal Medicine 500 E Central Ave, East Centraond Clinic, Winter Haven, FL 33880-3053 2005-07-13
1952309106 Jose R Vigoreaux Internal Medicine 500 E Central Ave, Bond Clinic, P.a., Winter Haven, FL 33880-3053 2005-07-12
Find all providers in WINTER HAVEN

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City WINTER HAVEN
Zip Code 33881

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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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