Vedavathi R Bellamkonda Athmaram (NPI# 1477828515, PAC ID# 4385947266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1477828515 |
| PAC ID by PECOS | 4385947266 |
| Professional Enrollment ID | I20160127001046 |
| Full Name | Vedavathi R Bellamkonda Athmaram |
| Organization Legal Name | CHILDREN'S CLINIC NETWORK |
| Address |
12720 Bass Lake Rd Maple Grove MN 55369-6307 |
| Phone Number | 7635592861 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 5890949192 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 | 7635592861 | CHILDREN'S CLINIC NETWORK |
| Organization Legal Name | CHILDREN'S CLINIC NETWORK |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya J Bailey | Pediatric Medicine | Children's Clinic Network | 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 |
| Allison N Goulson | Nurse Practitioner | Children's Clinic Network | 3910 Excelsior Boulevard, Saint Louis Park, MN 55416-4709 |
| Pamela J Niksich | Pediatric Medicine | Children's Clinic Network | 3910 Excelsior Blvd, Saint Louis Park, MN 55416-4709 |
| Lisa J Gears | Pediatric Medicine | Children's Clinic Network | 1547 Livingston Ave, West Saint Paul, MN 55118-3411 |
| Krystal K Kaminski | Nurse Practitioner | Children's Clinic Network | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Lyn P Chapman | Pediatric Medicine | Children's Clinic Network | 1547 Livingston Ave, West Saint Paul, MN 55118-3411 |
| Saralyn Klein | Pediatric Medicine | Children's Clinic Network | 1547 Livingston Ave, West Saint Paul, MN 55118-3411 |
| Cindy M Howe | Pediatric Medicine | Children's Clinic Network | 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 |
| Catherine S Bedford | Pediatric Medicine | Children's Clinic Network | 1547 Livingston Ave, West Saint Paul, MN 55118-3411 |
| Suzanne E Strauss | Nurse Practitioner | Children's Clinic Network | 1547 Livingston Ave, West Saint Paul, MN 55118-3411 |
| Street Address |
12720 BASS LAKE RD |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-6307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya J Bailey | Pediatric Medicine | Children's Clinic Network | 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 |
| Cindy M Howe | Pediatric Medicine | Children's Clinic Network | 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | MAPLE GROVE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Vedavathi R Bellamkonda Athmaram.
| 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.