KISHORE K SRIRAM (NPI# 1710179908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710179908 |
| Entity Type | Individual |
| Full Name | KISHORE K SRIRAM |
| Credential | M.D. |
| Practice Address |
850 N Harrison St Warsaw IN 46580-3163 |
| Practice Telephone | 5742677169 |
| Practice Fax Number | 5742693995 |
| Mailing Telephone | 5742677169 |
| Mailing Fax Number | 5742690597 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01070060A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 2007016061 | MO | Student, Health Care |
| Street Address |
850 N HARRISON ST |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657417 | Daniel W Carey | Social Worker | 850 N Harrison St, Warsaw, IN 46580-3163 | 2005-05-23 |
| 1932700580 | Chad Reynolds | Counselor | 850 N Harrison St, Warsaw, IN 46580-3163 | 2020-11-02 |
| 1295376168 | Steven L Perlack | Counselor | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-10-02 |
| 1043860034 | Nicole Summers | Psychologist | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-09-12 |
| 1093376113 | Dennis-james Dutcher | Counselor | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-06-28 |
| 1700447828 | Kari A Jenkins | Social Worker | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-06-28 |
| 1063077543 | Leslie Ringger | Counselor | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-05-09 |
| 1033772504 | Mikayla M Gardner | Social Worker | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-04-19 |
| 1144783267 | Elizabeth C. Lee | Counselor | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-04-08 |
| 1023571049 | Statia Scaife | Social Worker | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922415751 | Samad Nasaryab Hassan | Psychiatry & Neurology | 17571 N Dam Access Rd, Warsaw, MO 65355-6396 | 2014-07-14 |
| 1679732556 | Kenneth Ogu | Psychiatry & Neurology | 850 N Harrison St, Warsaw, IN 46580-3163 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659695278 | Harmony Medical Associates LLC | Psychiatry & Neurology | 11837 Wedgeport Ln, Fishers, IN 46037-7987 | 2010-03-25 |
| 1508046624 | Kearn D Hinchman D O Inc | Psychiatry & Neurology | 53779 Generations Dr Ste 1, South Bend, IN 46635-1576 | 2007-11-06 |
| 1144337791 | Benjamin Louis Troy | Psychiatry & Neurology | 230 East Day Road, Suite 160, Mishawaka, IN 46545-3463 | 2006-08-23 |
| 1770526618 | Elizabeth A Taylor | Psychiatry & Neurology | 3055 N Lake Ct, Newburgh, IN 47630 | 2006-06-14 |
| 1407807746 | Syed J Khan | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2006-05-12 |
| 1821060294 | Michael Welling | Psychiatry & Neurology | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-02-01 |
| 1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
| 1700337920 | Kledzik Psychiatric LLC | Psychiatry & Neurology | 9245 N Meridian St, 225, Indianapolis, IN 46260-1836 | 2016-10-24 |
| 1255714390 | Ahmed Montaser | Psychiatry & Neurology | 121 Buntin St, Vincennes, IN 47591-1320 | 2015-07-07 |
| 1215334008 | Mind Md LLC | Psychiatry & Neurology | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2014-11-24 |
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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.