SREEKANTH V INDURTI MD INC (NPI# 1528385788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528385788 |
| Entity Type | Organization |
| Organization Name | SREEKANTH V INDURTI MD INC |
| Practice Address |
218 Forest Glen Dr Holland OH 43528-8195 |
| Mailing Address |
Po Box 8440 Toledo OH 43623-0440 |
| Practice Telephone | 4198850200 |
| Practice Fax Number | 4198850200 |
| Mailing Telephone | 4198850200 |
| Mailing Fax Number | 4198850203 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-05-14 |
| Authorized Official Name | SREEKANTH INDURTI (PRES) |
| Authorized Official Telephone | 4198673985 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
081641 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2655309 | 05 |
| Street Address |
218 FOREST GLEN DR |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-8195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215116397 | Virginia Truitt Sherr | Psychiatry & Neurology | 47 Crescent Dr, Holland, PA 18966-2105 | 2007-10-25 |
| 1295743094 | Nicholas A Abid | Psychiatry & Neurology | 1194 Beach Dr, Holland, MI 49423-4486 | 2006-08-04 |
| 1235109372 | Thomas Willliam Kuhn | Psychiatry & Neurology | 854 S Washington Ave, Suite 330, Holland, MI 49423-7144 | 2006-01-23 |
| 1578833695 | John R. Beyer, D. O., Pllc | Psychiatry & Neurology | 44 E 8th St, Suite 200, Holland, MI 49423-3575 | 2012-01-05 |
| 1255625273 | Emily Todd | Psychiatry & Neurology | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2011-06-07 |
| 1760613046 | Julie Ann Arellano | Psychiatry & Neurology | 926 Washington Ave, Holland, MI 49423-7725 | 2009-08-04 |
| 1760655195 | Lucien Tamer | Psychiatry & Neurology | 854 Washington Ave, Suite 330, Holland, MI 49423-7144 | 2008-04-07 |
| 1154541118 | Jane Broering Ammons | Psychiatry & Neurology | 7429 International Dr, #2, Holland, OH 43528 | 2007-05-01 |
| 1477693505 | James R Dumerauf | Psychiatry & Neurology | 602 Michigan Ave, Holland, MI 49423-4918 | 2007-02-07 |
| 1811042823 | David Samuel Sprague | Psychiatry & Neurology | 12265 James St, Holland, MI 49424-8613 | 2007-01-23 |
| Find all providers in HOLLAND | ||||
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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.