MR. SAM REDDY KESRI (NPI# 1477571925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477571925 |
| Entity Type | Individual |
| Full Name | MR. SAM REDDY KESRI |
| Other Name | SHYAM MURALI KEESARI |
| Credential | M.D. |
| Practice Address |
6040 Scottsville Rd Bowling Green KY 42104-0388 |
| Mailing Address |
Po Box 50590 Bowling Green KY 42102-3790 |
| Practice Telephone | 2708425850 |
| Practice Fax Number | 2708425388 |
| Mailing Telephone | 2708425850 |
| Mailing Fax Number | 2708425388 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 33804 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64338049 | 05 |
| Street Address |
6040 SCOTTSVILLE RD |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-0388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
| 1639725963 | Paul T Harvey | Internal Medicine | Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 | 2019-08-13 |
| 1437609104 | Commonwealth Health Corporation, Inc. | Internal Medicine | 1681 Normal Dr, Bowling Green, KY 42101-1041 | 2016-10-06 |
| 1952734451 | Umar Khan Md Pllc | Internal Medicine | 440 High Street, Bowling Green, KY 42101 | 2013-08-20 |
| 1962775767 | Maumee Valley Internist Inc | Internal Medicine | 960 W Wooster St Ste 205, Bowling Green, OH 43402-2650 | 2012-02-10 |
| 1235428574 | Tanya Shoaib | Internal Medicine | 407 Autumnstone Ln, Bowling Green, KY 42103-6004 | 2011-04-06 |
| 1750511051 | Rishi Agarwal | Internal Medicine | 350 Park St Ste 206, Bowling Green, KY 42101-1784 | 2009-07-21 |
| 1073776373 | Sara L Chou | Internal Medicine | 207 Red Cedar Way, Bowling Green, KY 42104-8793 | 2008-07-07 |
| 1912110594 | Michael Brian Humble | Internal Medicine | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2007-05-08 |
| 1689668642 | Thomas Gregory Hughes | Internal Medicine | 225 Natchez Trace Ave, Bowling Green, KY 42103 | 2005-09-07 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.