Kandipati Sreenivasarao (NPI# 1063899656, PAC ID# 3072808260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063899656 |
| PAC ID by PECOS | 3072808260 |
| Professional Enrollment ID | I20180817000270 |
| Full Name | Kandipati Sreenivasarao |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Address |
723 Parkridge Lane North Fond Du Lac WI 54937 |
| Phone Number | 9209268600 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1658289624 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520088 | ST AGNES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 723 Parkridge Lane, North Fond Du Lac, WI 54937 | 9209268600 | AGNESIAN HEALTHCARE INC |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Covach | Family Medicine | Agnesian Healthcare Inc | 835 Parkside St, Ripon, WI 54971-8505 |
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Suzanne T Mcgoey | Dermatology | Agnesian Healthcare Inc | 912 S Hickory St, Fond Du Lac, WI 54935-5530 |
| Robert M Bertram | Podiatry | Agnesian Healthcare Inc | 790 Eastgate Dr, Ripon, WI 54971-9614 |
| Shahriar Alizadegan | Vascular Surgery | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Bret N Pasiuk | Nephrology | Agnesian Healthcare Inc | 110 Monroe St, Beaver Dam, WI 53916-2437 |
| Jodi R Budwit | Nurse Practitioner | Agnesian Healthcare Inc | 10 Pluim Dr, Waupun, WI 53963-1564 |
| Bryan J Henslin | Chiropractic | Agnesian Healthcare Inc | 305 Camelot Dr, Fond Du Lac, WI 54935-8014 |
| Jeffrey A Strong | Family Medicine | Agnesian Healthcare Inc | 100 Evergreen Rd, Mt Calvary, WI 53057-9726 |
| Jay R Muller | Internal Medicine | Agnesian Healthcare Inc | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 |
| Street Address |
723 PARKRIDGE LANE |
| City | NORTH FOND DU LAC |
| State | WI |
| Zip | 54937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline M Koski | Family Medicine | Aurora Medical Group Inc | 700 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 |
| Tamara L Lyday | Family Medicine | Aurora Medical Group Inc | 700 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 |
| James A Early | Chiropractic | 1211 Rickmeyer Dr F, Fond Du Lac, WI 54937-2212 | |
| Eric A Smiltneek | Family Medicine | Aurora Medical Group Inc | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 |
| Scott J Stellmacher | Family Medicine | Aurora Medical Group Inc | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 |
| Adam P Whittington | Dermatology | Aurora Medical Group Inc | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 |
| Steven A Sandstrom | Neurology | Aurora Medical Group Inc | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 |
| Edward V Braun | Chiropractic | Aurora Medical Group Inc | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 |
| Davis C Tsai | Orthopedic Surgery | Aurora Medical Group Inc | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 |
| Teri L Kaczmarek | Psychologist, Clinical | Aurora Medical Group Inc | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 |
| Find all physicians in zip 54937 | |||
| City | NORTH FOND DU LAC |
| Zip Code | 54937 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH FOND DU LAC + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kandipati Sreenivasarao.
| 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.