BALAKRISHNAN SRIDHARAN


Address: 3200 Maccorkle Ave Se, Hospitalists Program, Charleston, WV 25304-1227
Phone: 3043885848

BALAKRISHNAN SRIDHARAN (NPI# 1881685550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881685550
Entity Type Individual
Full Name BALAKRISHNAN SRIDHARAN
Credential MD
Practice Address 3200 Maccorkle Ave Se
Hospitalists Program
Charleston
WV 25304-1227
Mailing Address 415 Morris St
Suite 304
Charleston
WV 25301-1842
Practice Telephone 3043885848
Practice Fax Number 3043889654
Mailing Telephone 3043887782
Mailing Fax Number 3043887788
Enumeration Date 2005-11-02
Last Update Date 2013-02-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 19265 WV Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 19265 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 1809060000 05
WV 3810016539 05
WV RAILROAD MEDICARE P00824219 01

Office Location

Street Address 3200 MACCORKLE AVE SE
HOSPITALISTS PROGRAM
City CHARLESTON
State WV
Zip Code 25304-1227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982217139 Ashley Lauren Bowles Nurse Practitioner 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-08-27
1932717121 Chan Myae Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-07-14
1639792971 Victoria Morgan Bullman Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-21
1205459708 Samantha Withrow Nurse Practitioner 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1013530567 Jennifer D Valdez Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1962025411 Rhea N Lipscomb Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1780207233 Bethany Noel Henson Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 2020-05-19
1598388043 Travis O Ellis Nurse Anesthetist, Certified Registered 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-05-19
1679194849 Joshua Zegeer Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-04-29
1205455607 Abigail Staton Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2020-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
Find all providers in zip 25304

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972128221 John Fincher Gist Bobo Internal Medicine 169 Ashley Ave Rm 202muh, Charleston, SC 29425-8905 2020-06-12
1831746874 Roper Saint Francis Physicians Network Internal Medicine 615 Wesley Dr Ste 120, Charleston, SC 29407-7206 2019-08-23
1104486463 Matthew Bruner Internal Medicine 162 Ashley Ave Rm 202, Charleston, SC 29425-8907 2019-06-19
1366001760 Rayphael Sebastian Hardy Internal Medicine 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 2019-06-10
1427617950 Emily Suzanne Nyers Internal Medicine 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2019-06-09
1225697931 Shenia Lorraine Singleton Internal Medicine 706 Tahoe St, Charleston, SC 29407-6629 2019-06-07
1871152520 Elena Vlachos Internal Medicine 169 Ashley Aveneue Room 202 Main Hospital, Charleston, SC 29425-0001 2019-06-06
1750877890 Mona Ali Haj Internal Medicine 96 Jonathan Lucas St Rm 202, Charleston, SC 29425-8900 2018-07-02
1538654025 Megan Kathleen Veglia Internal Medicine 135 Rutledge Ave Fl 8, Charleston, SC 29425-8905 2018-06-27
1457881559 Milad Cesar El Hajj Internal Medicine 96 Jonathan Lucas St Ste 807, Charleston, SC 29425-8900 2017-06-13
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Competitor

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City CHARLESTON
Zip Code 25304

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Dataset Information

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.

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