MR. SIVARAM SUDHAKAR


Address: 1901 Medi Park, Suite # 1062, Amarillo, TX 79106
Phone: 8064631652

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
H7836 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 130454506 05
TX STATE LICENSE H7836 01

Office Location

Street Address 1901 MEDI PARK
SUITE # 1062
City AMARILLO
State TX
Zip Code 79106

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City AMARILLO
Zip Code 79106

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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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