SAMYUKTHA SREENIVASAN (NPI# 1548526171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548526171 |
| Entity Type | Individual |
| Full Name | SAMYUKTHA SREENIVASAN |
| Credential | M.D. |
| Practice Address |
13657 W Mcdowell Rd Suite 118 Goodyear AZ 85395-2601 |
| Practice Telephone | 6239359494 |
| Practice Fax Number | 6239359292 |
| Mailing Telephone | 6239359494 |
| Mailing Fax Number | 6239359292 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 50094 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
13657 W MCDOWELL RD SUITE 118 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578545323 | Kay S Ahern | Physical Therapist | 13657 W Mcdowell Rd, Suite 218, Goodyear, AZ 85338-2601 | 2005-11-17 |
| 1073854600 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395-2601 | 2013-03-06 |
| 1003111030 | Phoenix Rheumatology Clinic, PC | Internal Medicine | 13657 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2601 | 2011-01-23 |
| 1316258403 | Jenette Denise Ratliff | Registered Nurse | 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395-2601 | 2010-06-23 |
| 1407178395 | Smi Imaging, LLC | Radiology | 13657 W Mcdowell Rd, Suite 111, Goodyear, AZ 85395-2601 | 2010-02-19 |
| 1245484294 | Michael Hyde Day | Dentist | 13657 W Mcdowell Rd, Suite 208, Goodyear, AZ 85395 | 2008-11-04 |
| 1891957569 | Anjaly B Curley | Radiology | 13657 W Mcdowell Rd, Suite 111, Simonmed Imaging, Goodyear, AZ 85395-2601 | 2008-06-25 |
| 1437349677 | Rajendra Chalasani | Internal Medicine | 13657 W Mcdowell Rd, Suite 210, Goodyear, AZ 85395 | 2007-07-25 |
| 1477766525 | Cambridge Pulmonary Clinic Inc | Internal Medicine | 13657 W Mcdowell Rd, 204, Goodyear, AZ 85338-2601 | 2007-05-07 |
| 1740388578 | Steven Ting | Internal Medicine | 13657 W Mcdowell Rd, Ste 210, Goodyear, AZ 85395 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1376141598 | Bassi Clinic Pllc | Internal Medicine | 14175 W Indian School Rd Ste B4-139, Goodyear, AZ 85395-8407 | 2020-10-09 |
| 1861985798 | Southwest Integrated Health LLC | Internal Medicine | 17750 W Elliot Rd Ste 110, Goodyear, AZ 85338-9001 | 2018-06-14 |
| 1679810162 | Hudson Virgil Grumbling Jr. | Internal Medicine | 4035 N 156th Ln, Goodyear, AZ 85395-8819 | 2013-01-03 |
| 1689937575 | Sajeet Sohi | Internal Medicine | 13657 W Mcdowell Rd Ste 118, Goodyear, AZ 85395-2602 | 2012-06-17 |
| 1114111002 | Sanjay Saradhi Bommakanti | Internal Medicine | 700 N Estrella Pkwy Ste 130, Goodyear, AZ 85338-9271 | 2007-09-04 |
| 1386865780 | Jared J Berkowitz | Internal Medicine | 14541 W Indian School Rd, Ste 600, Goodyear, AZ 85395-9243 | 2007-05-01 |
| 1073660338 | Mark Edward Burnes | Internal Medicine | 14940 West Indian School Road, Suite 400, Goodyear, AZ 85395 | 2007-01-05 |
| 1649377813 | Deepanshu Garg | Internal Medicine | 1325 N Litchfield Rd Ste 110, Goodyear, AZ 85395-1228 | 2006-09-20 |
| 1942228259 | Kevin Todd Stephan | Internal Medicine | 13471 W Cornerstone Blvd, Goodyear, AZ 85395 | 2006-07-17 |
| 1952327116 | Fnu Pranav | Internal Medicine | 700 N Estrella Pkwy # 130, Goodyear, AZ 85338-9271 | 2006-07-14 |
| Find all providers in GOODYEAR | ||||
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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.