SIRISHA R. NANDALUR


Address: 44201 Dequindre Rd, Troy, MI 48085-1117
Phone: 2489645000

SIRISHA R. NANDALUR (NPI# 1508070152) 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) 1508070152
Entity Type Individual
Full Name SIRISHA R. NANDALUR
Credential MD
Practice Address 44201 Dequindre Rd
Troy
MI 48085-1117
Mailing Address 26901 Beaumont Blvd Ste 3d
Southfield
MI 48033-3849
Practice Telephone 2489645000
Practice Fax Number 2489646158
Enumeration Date 2007-05-10
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
4301083705 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 44201 DEQUINDRE RD
City TROY
State MI
Zip Code 48085-1117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801892468 Mary Margaret Guerra Nurse Practitioner 44201 Dequindre Rd, Troy, MI 48085-1117 2005-06-28
1578163523 Laura Marie Metz Nurse Practitioner 44201 Dequindre Rd, Troy, MI 48085-1117 2020-10-29
1538767983 Virginia Clare Fielhauer Physician Assistant 44201 Dequindre Rd, Troy, MI 48085-1117 2020-10-16
1437756095 Amanda Michelle Hirsch Nurse Practitioner 44201 Dequindre Rd, Troy, MI 48085-1117 2020-10-07
1467059113 Scott Matthew Grumeretz Physical Therapist 44201 Dequindre Rd, Troy, MI 48085-1117 2020-10-06
1285231944 Brianne Patton Physical Therapist 44201 Dequindre Rd, Troy, MI 48085-1117 2020-10-06
1679180483 John L Freds Registered Nurse 44201 Dequindre Rd, Troy, MI 48085-1117 2020-09-25
1720694300 Justine Marie Doss Nurse Practitioner 44201 Dequindre Rd, Troy, MI 48085-1117 2020-09-19
1649885872 Sara Dawn Thueme Nurse Practitioner 44201 Dequindre Rd, Troy, MI 48085-1117 2020-09-14
1316561772 Jodi Marini Registered Nurse 44201 Dequindre Rd, Troy, MI 48085-1117 2020-06-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790327252 Long Lake Rx Pharmacy 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 2019-10-16
1538712948 Long Lake Rx Pharmacy 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 2019-07-24
1669035093 William Beaumont Hospital Pharmacy Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 2019-04-22
1487126926 Long Lake Rx Pharmacy 2888 E Long Lake Rd Suite 120, Troy, MI 48085 2018-12-21
1295226579 Jeffrey Paul Biehl Nurse Anesthetist, Certified Registered 44249 Dequindre Rd., Troy, MI 48085 2018-05-23
1619478666 Trisha Misiewicz Physical Therapist 42201 Dequindre Rd, Troy, MI 48085 2018-02-26
1760900393 Sensory Rehabilitation LLC Physical Therapist 4413, Reilly Ct, Troy, MI 48085 2017-09-04
1841710837 James L Chang Dentist 1883 E Wattles, Troy, MI 48085 2017-06-21
1033567953 Brittany N David Physician Assistant 2041 E Square Lake Rd Suite 300, Troy, MI 48085 2016-06-01
1053784199 Brianna Lynn Manica Nurse Practitioner 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 2015-11-12
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902809445 Ronald Karl Setzkorn Radiology 3130 N Dixie Hwy, Troy, OH 45373-1337 2005-05-30
1164758025 Zachary A Seymour Radiology 44201 Dequindre Rd, William Beaumont Hospital, Troy, MI 48085-1117 2009-10-28
1437312402 Benjamin Scott Laser Radiology 2215 Burdett Ave, Troy, NY 12180-2466 2008-07-09
1710147756 Peter Paximadis Radiology 1560 E Maple Rd, Suite 400 - Credentialing Dept, Troy, MI 48083-1138 2008-06-12
1952582496 We Care 4u Co Radiology 3130 N Dixie Hwy, Troy, OH 45373-1337 2007-11-26
1922068923 Gregory Gustafson Radiology 44201 Dequindre Rd, Troy, MI 48085-1117 2006-03-24
1740240894 Jannifer S Stromberg Radiology 44201 Dequindre Rd, William Beaumont Hospital, Troy, MI 48085-1117 2006-03-24
1336131598 Troy Radiation Oncology Pllc Radiology 2215 Burdett Ave, Samaritan Cancer Care Center, Troy, NY 12180-2466 2005-08-15
1104826056 Sarada M Reddy Radiology 2215 Burdett Ave, Samaritan Hosptial Cancer Care Center, Troy, NY 12180-2466 2005-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1811444235 Gwendolyn Henderson Parker Radiology 48165 Liberty Dr, Shelby Twp, MI 48315-4061 2016-09-01
1376097733 Munson Medical Center Radiology 217 S Madison Avenue, Traverse City, MI 49684-2320 2016-08-15
1972985737 Andrew Thompson Radiology 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 2015-06-29
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1932533692 Compass Healthcare, Plc Radiology 2175 Coolidge Rd, East Lansing, MI 48823-1379 2013-08-29
1083903256 Omar Hesham Gayar Radiology 4100 Beecher Rd Ste A, Flint, MI 48532-3661 2011-03-28
1881906519 Sanath Kumar Radiology 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 2010-07-10
1376772574 Matthew W Packard Radiology 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 2009-07-08
1053575118 North Macomb Mrt Center LLC Radiology 17900 23 Mile Road, Macomb Twp, MI 48042 2008-07-17
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Competitor

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City TROY
Zip Code 48085

Improve Information

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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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