Srinivasa R Kodali (NPI# 1255372058, PAC ID# 3779653563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1255372058 |
| PAC ID by PECOS | 3779653563 |
| Professional Enrollment ID | I20080605000403 |
| Full Name | Srinivasa R Kodali |
| Address |
17940 Farmington Rd Suite 230 Livonia MI 48152-3194 |
| Phone Number | 7344224748 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230002 | ST MARY MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1525 University Dr, Auburn Hills, MI 48326-2673 | 2483712200 | |
| 17940 Farmington Rd, Suite 230, Livonia, MI 48152-3194 | 7344224748 | |
| 36475 5 Mile Rd, Livonia, MI 48154-1971 | 7346551320 | ST MARY MERCY PHYSICIAN PRACTICES |
| Street Address |
17940 FARMINGTON RD SUITE 230 |
| City | LIVONIA |
| State | MI |
| Zip | 48152-3194 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Murphy | Psychologist, Clinical | Richard Kneip Phd PC | 17940 Farmington Rd, Suite 225, Livonia, MI 48152-3195 |
| Rita A White | Clinical Social Worker | Richard Kneip Phd PC | 17940 Farmington Rd, Suite 225, Livonia, MI 48152-3195 |
| Sridevi Kodali | Psychiatry | 17940 Farmington Rd, Suite 230, Livonia, MI 48152-3194 | |
| Emily Silver | Clinical Social Worker | Richard Kneip Phd PC | 17940 Farmington Rd, Suite 225, Livonia, MI 48152-3195 |
| Edyta S Krukowska-urban | Psychologist, Clinical | Richard Kneip Phd PC | 17940 Farmington Rd, Suite 225, Livonia, MI 48152-3195 |
| Chalakudy V Ramakrishna | Psychiatry | 17940 Farmington Rd, Suite 230, Livonia, MI 48152-3194 | |
| Issam Nabeeh Mansour | Podiatry | 17940 Farmington Rd, Suite 110, Livonia, MI 48152-3157 | |
| Janice Dickerson | Clinical Social Worker | Richard Kneip Phd PC | 17940 Farmington Rd, Suite 225, Livonia, MI 48152-3195 |
| Angel Daniels | Clinical Psychologist | Richard Kneip Phd PC | 17940 Farmington Rd, Livonia, MI 48152-3195 |
| Samer A Kafelghazal | Internal Medicine | Middlebelt Medical Center Plc | 17940 Farmington Rd, Suite 130, Livonia, MI 48152-3157 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil K Jain | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Mark Stacherski | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Courtney Paladino | Clinical Social Worker | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Michael L Schwartz | Diagnostic Radiology | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Maribeth Knight | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Stacy L Smith | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Renee L Bayer | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Lisa Elconin | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Clint E Bernhard | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Jason M St John | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Find all physicians in zip 48152 | |||
| City | LIVONIA |
| Zip Code | 48152 |
| Specialty | PSYCHIATRY |
| City + Specialty | LIVONIA + PSYCHIATRY |
Please comment or provide details below to improve the information on Srinivasa R Kodali.
| 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.