MR. SIVARAM SUDHAKAR (NPI# 1497844112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497844112 |
Entity Type | Individual |
Full Name | MR. SIVARAM SUDHAKAR |
Credential | M.D. |
Practice Address |
1901 Medi Park Suite # 1062 Amarillo TX 79106 |
Practice Telephone | 8064631652 |
Practice Fax Number | 8064631736 |
Mailing Telephone | 8064631652 |
Mailing Fax Number | 8064631736 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2010-11-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
H7836 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 130454506 | 05 | |
TX | STATE LICENSE | H7836 | 01 |
Street Address |
1901 MEDI PARK SUITE # 1062 |
City | AMARILLO |
State | TX |
Zip Code | 79106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548257900 | Pedro R Hernandez | Internal Medicine | 1901 Medi Park, Suite 138, Amarillo, TX 79106-2110 | 2005-09-30 |
1790940633 | Phyllis Mclemore | Nurse Practitioner | 1901 Medi Park, Ste 2051, Amarillo, TX 79106-2169 | 2008-07-21 |
1417179912 | Randi Ferris | Speech-Language Pathologist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-03 |
1518179738 | Brenda Stamps | Physical Therapist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-03 |
1497977391 | Tiffany Blount | Occupational Therapy Assistant | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-02 |
1972725711 | Amber Hill | Speech-Language Pathologist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-02 |
1871628032 | Larry Gene Schulz | Dentist | 1901 Medi Park, Ste 219, Amarillo, TX 79106 | 2007-02-21 |
1356359186 | Melburn Kenton Huebner | Orthopaedic Surgery | 1901 Medi Park, Ste 10, Amarillo, TX 79016-2105 | 2006-08-04 |
1629096086 | Douglass Y Hyde | Orthopaedic Surgery | 1901 Medi Park, Suite 10, Amarillo, TX 79106-2105 | 2006-07-17 |
1083641690 | Vinodkumar Somabhai Patel | Internal Medicine | 1901 Medi Park, Suite # 2049, Amarillo, TX 79106-2110 | 2006-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
Find all providers in zip 79106 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508100108 | Loara Lucille Raburn | Psychiatry & Neurology | 820 S Avondale St, Amarillo, TX 79106-4113 | 2012-11-20 |
1760440291 | John Robert Ellis | Psychiatry & Neurology | 7802 Tarter Ave, Amarillo, TX 79121-1700 | 2006-05-03 |
1033193677 | Ruby D Saulog | Psychiatry & Neurology | 1731 Hagy Blvd, Amarillo, TX 79106-1710 | 2005-12-06 |
1790109916 | Nwtx Physician Network, Pllc | Psychiatry & Neurology | 2505 Lakeview Dr, Suite 205, Amarillo, TX 79109-1527 | 2014-02-07 |
1962651067 | Razi Rashid | Psychiatry & Neurology | 6700 W 9th Ave, Amarillo, TX 79106-1701 | 2008-09-12 |
1013044510 | Judith E Hogg Md Pa | Psychiatry & Neurology | 1600 S Coulter St, C302, Amarillo, TX 79106-1710 | 2007-02-28 |
1811083454 | Rachel M Philip | Psychiatry & Neurology | 6010 Amarillo Blvd. West, Amarillo, TX 79106 | 2006-10-04 |
1891731147 | Rush Alexander Snyder Jr. | Psychiatry & Neurology | 6700 W 9th Ave, Amarillo, TX 79106-1729 | 2006-06-22 |
1861438061 | Sean M Milligan | Psychiatry & Neurology | 6700 W 9th Ave, Amarillo, TX 79106-1729 | 2006-06-22 |
1598706012 | Michael G Ryan | Psychiatry & Neurology | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-06-08 |
Find all providers in AMARILLO |
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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.