SRIVANI CHUNCHULU (NPI# 1881009538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881009538 |
| Entity Type | Individual |
| Full Name | SRIVANI CHUNCHULU |
| Credential | M.D. |
| Practice Address |
1007 S Polk St Maysville MO 64469-4030 |
| Mailing Address |
1600 E Evergreen St Cameron MO 64429-2400 |
| Practice Telephone | 8164492123 |
| Practice Fax Number | 8164492125 |
| Mailing Telephone | (816) 632-2101 |
| Mailing Fax Number | 8166493383 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2017022845 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 East Fourth, Stewartsville, MO 64490 | 8166693225 | 8166693275 |
| 3110 Maccorkle Ave Se, Charleston, WV 253041210 | 3043885590 |
| Street Address |
1007 S POLK ST |
| City | MAYSVILLE |
| State | MO |
| Zip Code | 64469-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646358 | Frederick D Kiehl | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
| 1093188807 | Cameron Regional Medical Center Inc | Clinic/Center | 1007 S Polk St, Maysville, MO 64469-4030 | 2015-11-03 |
| 1215150735 | Northwest Family Health, Inc. | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2007-04-11 |
| 1477525152 | Elisa Eh Vinyard | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285682633 | N & R of Maysville, LLC | Skilled Nursing Facility | 1201 S Polk St, Maysville, MO 64469-4028 | 2006-05-05 |
| 1063606408 | Ginger R Neill Bundy | Occupational Therapy Assistant | 1201 S Polk St, Maysville, MO 64469-4028 | 2007-08-29 |
| 1164638409 | Bristol Care, Inc. | Assisted Living Facility | 604 S Polk St, Maysville, MO 64469-4033 | 2007-05-15 |
| 1952327108 | Randolph Medical Plus LLC | Pharmacy | 301 S Polk St, Maysville, MO 64469-4037 | 2006-07-14 |
| 1245569383 | Dekalb County Reorganized School District R-i | Local Education Agency (LEA) | 601 W Main St, Maysville, MO 64469-8231 | 2009-12-21 |
| 1477550937 | Dekalb Clinton Ambulance District No 1 | Ambulance | 261 Se Offutt Rd, Po 501, Maysville, MO 64469-9149 | 2005-06-30 |
| 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 |
|---|---|---|---|---|
| 1346317575 | Jeffrey W Dickerson | Internal Medicine | 991 Medical Park Drive, Ste 202, Maysville, KY 41056 | 2006-11-30 |
| 1205919875 | Mark Allen Wallingford | Internal Medicine | 2009 Old Main Street, Maysville, KY 41056 | 2006-10-24 |
| 1912975608 | Matthew K. Shotwell | Internal Medicine | 191 Wal Mart Way, Maysville, KY 41056-7518 | 2006-03-09 |
| 1386073872 | Meadowview Physician Practice LLC | Internal Medicine | 991 Medical Park Dr, Suite 202, Maysville, KY 41056-8764 | 2013-11-05 |
| 1629329990 | Meadowview Physician Practice LLC | Internal Medicine | 991 Medical Park Dr, Suite 300, Maysville, KY 41056-8764 | 2012-09-27 |
| 1679784961 | Ignacio Felipe Calvo-sainz | Internal Medicine | 927 Kenton Station Dr, Maysville, KY 41056-9609 | 2007-05-25 |
| 1770630816 | Maria Isabel V Del Castillo De Calvo | Internal Medicine | 927 Kenton Station Dr, Maysville, KY 41056-9609 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1699385757 | Mark Steven Routburg | Internal Medicine | 509 Sgt Pepper Dr, Saint Peters, MO 63376-2441 | 2020-08-04 |
| 1063020626 | Mazin Hazim Kamil | Internal Medicine | 15 Remington Place Ct, Ballwin, MO 63021-6369 | 2020-07-20 |
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
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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.