SRIDHAR BANURU (NPI# 1649244781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649244781 |
Entity Type | Individual |
Full Name | SRIDHAR BANURU |
Credential | MD |
Practice Address |
1138 N Elm St Henderson KY 42420 |
Mailing Address |
4015 Gateway Blvd Suite 2120 Newburgh IN 47630-8925 |
Practice Telephone | 2708278811 |
Practice Fax Number | 2708271221 |
Mailing Telephone | 8128420907 |
Mailing Fax Number | 8124644485 |
Enumeration Date | 2006-02-15 |
Last Update Date | 2018-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01055614A | IN | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
39180 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200519660 | 05 | |
KY | 64107493 | 05 |
Street Address |
1138 N ELM ST |
City | HENDERSON |
State | KY |
Zip Code | 42420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063668564 | Robin M Glenn | Registered Nurse | 1138 N Elm St, Henderson, KY 42420-2715 | 2008-08-15 |
1922279629 | The Heart Group | Internal Medicine | 1138 N Elm St, Henderson, KY 42420-2715 | 2008-03-20 |
1851349930 | Mohit K Sheth | Internal Medicine | 1138 N Elm St, Henderson, KY 42420-2715 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
Find all providers in zip 42420 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1164909396 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 2839 St. Rose Pkwy., Ste. 160, Henderson, NV 89052-4849 | 2018-07-20 |
1255823571 | Ram K Singh Md Ltd | Internal Medicine | 10410 S Eastern Ave Ste 210, Henderson, NV 89052-4195 | 2018-06-01 |
1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
1285837997 | Alfonso Li Tiu | Internal Medicine | 3032 Palatine Terrace Dr, Henderson, NV 89052-3000 | 2007-06-08 |
1518056464 | Anjum Ismail | Internal Medicine | 2641 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89052-4830 | 2006-10-11 |
1053411165 | Sydney Glen Short | Internal Medicine | 568 Ruin Creek Rd Ste 128, Henderson, NC 27536-5921 | 2006-09-25 |
1366540973 | Sanjay Vohra | Internal Medicine | 8965 S Pecos Rd, Suite 12a, Henderson, NV 89074 | 2006-09-20 |
1205864865 | Joshua G Leichman | Internal Medicine | 2865 Siena Heights Dr Ste 331, Henderson, NV 89052-4171 | 2006-06-30 |
1205882339 | Chandrasekhar R. Narala | Internal Medicine | 2847 St Rose Pkwy, Ste 100, Henderson, NV 89052 | 2006-05-26 |
1699726240 | Sunil Kalla | Internal Medicine | 2779 W Horizon Ridge Pkwy, Suite #240, Henderson, NV 89052-4184 | 2006-05-16 |
Find all providers in HENDERSON |
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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.