BALAKRISHNAN SRIDHARAN (NPI# 1881685550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 1809060000 | 05 | |
WV | 3810016539 | 05 | |
WV | RAILROAD MEDICARE | P00824219 | 01 |
Street Address |
3200 MACCORKLE AVE SE HOSPITALISTS PROGRAM |
City | CHARLESTON |
State | WV |
Zip Code | 25304-1227 |
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 |
Find all providers in the same location |
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 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 |
---|---|---|---|---|
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 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25304 |
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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.