Kalyan C Dadireddy (NPI# 1760823595, PAC ID# 3173898392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1760823595 |
| PAC ID by PECOS | 3173898392 |
| Professional Enrollment ID | I20171013000701 |
| Full Name | Kalyan C Dadireddy |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Address |
1068 Cresthaven Rd Memphis TN 38119-0800 |
| Phone Number | 9018668525 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 3173435369 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1068 Cresthaven Rd, Memphis, TN 38119-0800 | 9018668525 | UT MEDICAL GROUP, INC. |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Waid | Nurse Practitioner | Ut Medical Group, Inc. | 910 Madison Ave, Suite 922, Memphis, TN 38103-3483 |
| Marthinus Theunis Zeeman | Addiction Medicine | Ut Medical Group, Inc. | 6401 Poplar Ave, Memphis, TN 38119-4823 |
| Charlie Busby | Family Medicine | Ut Medical Group, Inc. | 1999 Hwy 51 S, Covington, TN 38019-3630 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Jonathan William Brugger | Ophthalmology | Ut Medical Group, Inc. | 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 |
| Brian T Fowler | Ophthalmology | Ut Medical Group, Inc. | 930 Madison Ave, Suite 200, Memphis, TN 38103-3410 |
| Robert D Wallace | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 1505 N 2nd St, Memphis, TN 38107-1003 |
| Neal Beckford | Otolaryngology | Ut Medical Group, Inc. | 7675 Wolf River Cir, Suite 202, Memphis, TN 38138-1747 |
| Robert B Canada | Internal Medicine | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Iverson C Bell Jr. | Psychiatry | Ut Medical Group, Inc. | 920 Madison Ave, Suite 200, Memphis, TN 38103-3434 |
| Street Address |
1068 CRESTHAVEN RD |
| City | MEMPHIS |
| State | TN |
| Zip | 38119-0800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paulina Williamson | Certified Registered Nurse Anesthetist (crna) | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Dan H Shell Iii | Plastic and Reconstructive Surgery | 1068 Cresthaven Rd, Suite 200, Memphis, TN 38119-0845 | |
| Brojo Sarkar | Anesthesiology | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Jeffrey Williams | Anesthesiology | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Stephen Finder | Certified Registered Nurse Anesthetist (crna) | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Tiffany N Hines | Certified Registered Nurse Anesthetist (crna) | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Anant V Shah | Anesthesiology | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Jeffrey K Gearhart | Certified Registered Nurse Anesthetist (crna) | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Lori M Conroy | Certified Registered Nurse Anesthetist (crna) | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Kevin Bohannon | Certified Registered Nurse Anesthetist (crna) | East Memphis Anesthesia Services Pllc | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-3859 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Bradley | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Suzanne Ward | Nurse Practitioner | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Karen L Manley | Occupational Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Spencer W Hauser | Orthopedic Surgery | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Dawn Michelle Bierdz | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Stephen Sittnick | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Morgan Lisner | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Jeffrey S Nelson | Hospice/palliative Care | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Mehmiya Z. Raghid | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Find all physicians in zip 38119 | |||
| City | MEMPHIS |
| Zip Code | 38119 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | MEMPHIS + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Kalyan C Dadireddy.
| 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.