Sridevi Nagumalli (NPI# 1285775759, PAC ID# 1850445271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1285775759 |
| PAC ID by PECOS | 1850445271 |
| Professional Enrollment ID | I20090820000117 |
| Full Name | Sridevi Nagumalli |
| Organization Legal Name | STATE OF OKLAHOMA |
| Address |
I Mile E Hwy 270 Western State Psychiatric Fort Supply OK 73841 |
| Phone Number | 5807662311 |
| Gender | F |
| Graduation Year | 1982 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4486558962 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370138 | MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 1 Mile E Hwy 270, Western State Psychiatric, Fort Supply, OK 73841-0001 | 5805713235 | STATE OF OKLAHOMA |
| 1 Mile E Hwy 270, Fort Supply, OK 73841-0001 | 5805713235 | STATE OF OKLAHOMA |
| I Mile E Hwy 270, Western State Psychiatric, Fort Supply, OK 73841 | 5807662311 | STATE OF OKLAHOMA |
| I Mile E Hwy 270, Fort Supply, OK 73841 | 5807662311 | STATE OF OKLAHOMA |
| Organization Legal Name | STATE OF OKLAHOMA |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heena N Patel | Psychiatry | State of Oklahoma | 900 E Main St, Griffin Memorial Hospital, Norman, OK 73071-5305 |
| Jennifer N Pettijohn | Clinical Social Worker | State of Oklahoma | 602 Sw, 38th Jim Taliaferro Cmhc, Lawton, OK 73505-6912 |
| Leslie Jeffries | Nurse Practitioner | State of Oklahoma | 1101 E Monroe Ave, Carl Albert Mental Health, Mcalester, OK 74501-4826 |
| Kevin Johnson | Psychiatry | State of Oklahoma | 2323 S Harvard Ave, Tcbh, Tulsa, OK 74114-3301 |
| Laurie C Clark | Family Medicine | State of Oklahoma | 14002 E 21st St, Suite 1130, Tulsa, OK 74134-1408 |
| Gloria Martz | Psychiatry | State of Oklahoma | 909 Alameda St, Norman, OK 73071-5229 |
| Roselyn M Bramwell | Clinical Social Worker | State of Oklahoma | 702 N Grand, Ncbh, Enid, OK 73701-3221 |
| Darrel E Schreiner | Psychiatry | State of Oklahoma | 602 Sw 38th St, Jtcmhc, Lawton, OK 73505-6912 |
| Madhuri J Lad | Internal Medicine | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Terri Kay Stonehocker | Psychiatry | State of Oklahoma | 1 Mile E Hwy 270, Western State Psychiatric, Fort Supply, OK 73841-0001 |
| Street Address |
I MILE E HWY 270 WESTERN STATE PSYCHIATRIC |
| City | FORT SUPPLY |
| State | OK |
| Zip | 73841 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Kay Stonehocker | Psychiatry | State of Oklahoma | 1 Mile E Hwy 270, Western State Psychiatric, Fort Supply, OK 73841-0001 |
| City | FORT SUPPLY |
| Zip Code | 73841 |
| Specialty | PSYCHIATRY |
| City + Specialty | FORT SUPPLY + PSYCHIATRY |
Please comment or provide details below to improve the information on Sridevi Nagumalli.
| 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.