Purushottama B Sagireddy (NPI# 1407844889, PAC ID# 1557278454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1407844889 |
| PAC ID by PECOS | 1557278454 |
| Professional Enrollment ID | I20041206000511 |
| Full Name | Purushottama B Sagireddy |
| Organization Legal Name | SAN JOAQUIN KIDNEY CLINIC, INC |
| Address |
1801 E March Ln Suite B265 Stockton CA 95210-6655 |
| Phone Number | 2095461868 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1997 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 8527009158 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050336 | ADVENTIST HEALTH LODI MEMORIAL |
| 050557 | MEMORIAL MEDICAL CENTER |
| 050122 | DAMERON HOSPITAL |
| 050084 | ST JOSEPHS MEDICAL CENTER OF STOCKTON |
| Address | Phone | Organization |
|---|---|---|
| 801 S Ham Ln, Suite J, Lodi, CA 95242-7502 | 2093697336 | SAN JOAQUIN KIDNEY CLINIC, INC |
| 1801 E March Ln, Suite B265, Stockton, CA 95210-6655 | 2095461868 | SAN JOAQUIN KIDNEY CLINIC, INC |
| Organization Legal Name | SAN JOAQUIN KIDNEY CLINIC, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vishwa Sheth | Internal Medicine | San Joaquin Kidney Clinic, Inc | 1801 E March Ln, Suite B265, Stockton, CA 95210-6655 |
| Ananth N Prakash | Nephrology | San Joaquin Kidney Clinic, Inc | 1801 E March Ln, B265, Stockton, CA 95210-6655 |
| Mallareddy Maddula | Nephrology | San Joaquin Kidney Clinic, Inc | 1801 E March Lane, Suite B265, Stockton, CA 95210-6629 |
| Subrahmanyam Nasika | Nephrology | San Joaquin Kidney Clinic, Inc | 1801 E March Lane, Suite B265, Stockton, CA 95210-6629 |
| Street Address |
1801 E MARCH LN SUITE B265 |
| City | STOCKTON |
| State | CA |
| Zip | 95210-6655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald A Kass | Sleep Medicine | Pacific Sleep Disorders Center A California General Partnership | 1801 E March Ln, Suite C310, Stockton, CA 95210-6683 |
| Dheeraj Nandanoor | Internal Medicine | 1801 E March Ln, Suite D460, Stockton, CA 95210-6680 | |
| Manreet Basra | Cardiovascular Disease (cardiology) | Pacific Heart and Vascular Medical Group | 1801 E March Ln, Suite D400, Stockton, CA 95210-6675 |
| Lee M Stenzler | Cardiovascular Disease (cardiology) | Pacific Heart and Vascular Medical Group | 1801 E March Ln, Suite D400, Stockton, CA 95210-6675 |
| Daren Stephen Primack | Cardiovascular Disease (cardiology) | Pacific Heart and Vascular Medical Group | 1801 E March Ln, Suite D400, Stockton, CA 95210-6675 |
| Vishwa Sheth | Internal Medicine | San Joaquin Kidney Clinic, Inc | 1801 E March Ln, Suite B265, Stockton, CA 95210-6655 |
| Jennifer J Williams | Pulmonary Disease | 1801 E March Ln, Suite C300, Stockton, CA 95210-6657 | |
| Nevin Arora | Sleep Medicine | Pacific Sleep Disorders Center A California General Partnership | 1801 E March Ln, Suite C310, Stockton, CA 95210-6683 |
| Francis P Isidoro | Nuclear Medicine | Stockton Diagnostic Imaging | 1801 E March Ln, Suite A130, Stockton, CA 95210-6650 |
| John L Depolo | Pulmonary Disease | 1801 E March Ln, C300, Stockton, CA 95210-6657 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwuemeka P Chikwendu | Optometry | 7743 W Ln, A2, Stockton, CA 95210-3350 | |
| Kelly A Mcgrane | Optometry | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Sweet V Allen | Internal Medicine | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Yeeyie Eva Fogarty | Radiation Oncology | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Jill D Mackinnon | Physical Medicine and Rehabilitation | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Ashley Y Vande Kieft | Obstetrics/gynecology | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Rama Balaji | Psychiatry | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Ryan T Finlayson | Emergency Medicine | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Lester G Reffigee | Obstetrics/gynecology | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Linda V Packia Raj | Physical Medicine and Rehabilitation | Permanente Medical Group Inc | 1305 Tommydon St, Stockton, CA 95210-3364 |
| Find all physicians in zip 95210 | |||
| City | STOCKTON |
| Zip Code | 95210 |
| Specialty | NEPHROLOGY |
| City + Specialty | STOCKTON + NEPHROLOGY |
Please comment or provide details below to improve the information on Purushottama B Sagireddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.