DR. SRINIVAS BOLUGODDU RAO (NPI# 1750756235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750756235 |
| Entity Type | Individual |
| Full Name | DR. SRINIVAS BOLUGODDU RAO |
| Credential | M.D |
| Practice Address |
521 Beach 20th St Far Rockaway NY 11691-3645 |
| Mailing Address |
327 Beach 19th Street St Johns Medical Services, PC Far Rockaway NY 11691-4423 |
| Practice Telephone | 7188698822 |
| Mailing Telephone | 7188697919 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
301622 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 301622 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938598 | Srinivas P Rao | Radiology | 11221 Katy Fwy Ste 115, Houston, TX 77079-2105 | 2005-11-07 |
| Street Address |
521 BEACH 20TH ST |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811078751 | Eileen Excelda Hibbert | Registered Nurse | 521 Beach 20th St, St. John's Episcopal Hospcommunity Mental Health Center, Far Rockaway, NY 11691-3645 | 2006-10-18 |
| 1366000705 | Frances Ferayorni | Social Worker | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2019-05-31 |
| 1508329103 | Cesar Dechoudens | Social Worker | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2019-04-10 |
| 1336673953 | Alexander Meyers | Student in an Organized Health Care Education/Training Program | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2017-04-20 |
| 1932649241 | Mark Schachter | General Acute Care Hospital | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2017-03-06 |
| 1558717850 | Umera Paracha | Student in an Organized Health Care Education/Training Program | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2016-05-05 |
| 1801275185 | Ahmad Rehmani | Student in an Organized Health Care Education/Training Program | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2015-05-20 |
| 1891045670 | Jaclyn Margaret Russell | Social Worker | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2012-09-19 |
| 1235493339 | Zayne Pascoe Beckford | Counselor | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2012-07-03 |
| 1366730673 | Kathleen M Raquet | Social Worker | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2011-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| 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 |
|---|---|---|---|---|
| 1174727291 | Island Wide Psychiatric Services PC | Psychiatry & Neurology | 327 Bch 19 St, Far Rockaway, NY 11691 | 2007-06-13 |
| 1871697292 | Azucena C. Cruz Rey | Psychiatry & Neurology | 327 Beach 19th St # Cp 4, Far Rockaway, NY 11691-4423 | 2006-09-08 |
| 1407882558 | Robert A Pilosov | Psychiatry & Neurology | 1329 Beach Channel Dr, Far Rockaway, NY 11691-3211 | 2006-06-23 |
| 1629069901 | S Madhusoodanan Md PC | Psychiatry & Neurology | St Johns Episcopal Hospital 327 Beach Channel Drive, Far Rockaway, NY 11691-1511 | 2005-11-04 |
| 1992794705 | Subramoniam Madhusoodanan | Psychiatry & Neurology | 327 B 19th Street, Far Rockaway, NY 11691 | 2005-10-14 |
| 1720410574 | Piotr Tomasz Slowik | Psychiatry & Neurology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2013-08-04 |
| 1346458478 | Krishna Kishore Bezwada | Psychiatry & Neurology | 327 Beach 19th Street, St. John's Episcopal Hospital, Far Rockaway, NY 11691 | 2007-05-21 |
| 1922185065 | Hong Tao Zhang | Psychiatry & Neurology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2006-11-01 |
| 1679668511 | Harsha Reddy | Psychiatry & Neurology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2006-10-04 |
| 1669567517 | Griselda Bartha | Psychiatry & Neurology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2006-10-04 |
| Find all providers in FAR ROCKAWAY | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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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.