DR. SUDHIR PREM SRIVASTAVA (NPI# 1598755811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598755811 |
| Entity Type | Individual |
| Full Name | DR. SUDHIR PREM SRIVASTAVA |
| Credential | M.D. |
| Practice Address |
5665 Peachtree Dunwoody Rd Ne Suite 200 Atlanta GA 30342-1764 |
| Mailing Address |
P.o. Box 70547 Marietta GA 30007 |
| Practice Telephone | 4042526104 |
| Practice Fax Number | 4048479683 |
| Mailing Telephone | 7705791894 |
| Mailing Fax Number | 7705791899 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2010-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | F3628 | TX | Other Service Providers |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 062083 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 060059517 | 01 |
| TX | 123718204 | 05 |
| Street Address |
5665 PEACHTREE DUNWOODY RD NE SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700222049 | Elizabeth Yaughn Perlmutter | Social Worker | 5665 Peachtree Dunwoody Rd Ne, Erb Clinical Specialty Center, Atlanta, GA 30342-1764 | 2013-05-14 |
| 1528401890 | Karen B Robinson | Nurse Practitioner | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2013-04-16 |
| 1609128800 | Jamie L Swindle | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-10-11 |
| 1902157126 | Kaitlyn A Tinney | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-09-27 |
| 1386995504 | Andrew M Moore | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-09-27 |
| 1285904383 | Philip V Davis | Nurse Practitioner | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-01-05 |
| 1578855839 | Michele A Sundar | Hospitalist | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2011-05-05 |
| 1578860300 | Jessica C Murphy | Nurse Anesthetist, Certified Registered | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2011-02-14 |
| 1568764090 | Janice Lenora Lerch | Social Worker | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2010-12-04 |
| 1891002853 | A R Miller IIi | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2010-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356602056 | Andrew H Maloney | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 95 Collier Rd Nw Ste 2055, Atlanta, GA 30309-1721 | 2012-05-30 |
| 1912205964 | Umesh Nareppa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365 Clifton Rd Ne Ste A2228, Atlanta, GA 30322-1013 | 2011-02-28 |
| 1760629216 | Jonathan Gerard Mcguiness | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365a Clifton Road, Ne, Suite A2223 Cardiothoracic Surgery, Atlanta, GA 30322 | 2009-01-20 |
| 1508994195 | Fawwaz Ridwan Shaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1405 Clifton Rd Ne Fl 2, Atlanta, GA 30322-6310 | 2007-03-02 |
| 1073523205 | Arthur Melvin James | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1135 | 2006-08-09 |
| 1336167535 | Robert G Matheny | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5671 Peachtree Dunwoody Rd Ne Ste 550, Atlanta, GA 30342-5013 | 2006-07-17 |
| 1154387074 | Averel B Snyder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5665 Peachtree Dunwoody Road, Suite 200, Atlanta, GA 30342-1701 | 2006-04-21 |
| 1336774702 | Luis Arturo Ramirez Valdivia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-03-06 |
| 1164067112 | Eltayeb Mohamed Ahmed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-11-14 |
| 1982127437 | Ashok Kumar Coimbatore Jeyakumar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2017-07-17 |
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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.