DR. SRIVALLI KONDURI (NPI# 1417187386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417187386 |
| Entity Type | Individual |
| Full Name | DR. SRIVALLI KONDURI |
| Credential | M.D. |
| Practice Address |
140 Haverhill Street Andover MA 01810 |
| Mailing Address |
P.o. Box 760 Winchester MA 01890 |
| Practice Telephone | 9784701616 |
| Practice Fax Number | 9784708166 |
| Mailing Telephone | 7817567274 |
| Mailing Fax Number | 7817210725 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2014-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 248760 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
140 HAVERHILL STREET |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497712947 | Mihaela Templer | Family Medicine | 140 Haverhill Street, Andover, MA 01810 | 2006-04-27 |
| 1144498460 | Kyle Peter Harvey | Surgery | 140 Haverhill Street, Andover, MA 01810-1550 | 2008-02-20 |
| 1336209097 | Heather Benedetto | Nurse Practitioner | 140 Haverhill Street, Andover, MA 01810 | 2006-12-11 |
| 1851492714 | Victor Vidal Villarreal | Specialist | 140 Haverhill Street, Andover, MA 01810-1504 | 2006-09-25 |
| 1366480667 | Elise E Saks | Obstetrics & Gynecology | 140 Haverhill Street, Andover Ob/gyn, Andover, MA 01810 | 2006-06-02 |
| 1184661761 | Edwin C Radke | Obstetrics & Gynecology | 140 Haverhill Street, Andover Ob/gyn, Andover, MA 01810 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088484 | Micah Hall | Family Medicine | 105 S Andover Rd Ste D, Andover, KS 67002-7926 | 2012-06-21 |
| 1962636944 | Kari R Clouse | Family Medicine | 307 W Hwy 54 Ste 300, Andover, KS 67002-7849 | 2009-05-06 |
| 1346434081 | Melissa Lynn Reilly | Family Medicine | 272 Route 206 North, Andover, NJ 07821 | 2007-09-05 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1407079973 | Marianne Shuchin Liu | Family Medicine | 13819 Hanson Blvd. Nw, Fair View Clinic, Andover, MN 55304 | 2007-04-11 |
| 1023143823 | Samuel J. Daisley D.o. Inc. | Family Medicine | 149 E Main St # 1117, Andover, OH 44003-9479 | 2007-02-22 |
| 1689722001 | Catherine R Trader | Family Medicine | 8 Lenape Road, Andover, NJ 07821 | 2007-01-08 |
| 1063512507 | Paresh K Thakkar | Family Medicine | 13 Wabanaki Way, Andover, MA 01810-5524 | 2006-09-24 |
| 1922017128 | William A Coch | Family Medicine | 20 S Main St., Andover, NY 14806 | 2006-08-05 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
| Find all providers in ANDOVER | ||||
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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.