Chakradhar Desaraju (NPI# 1558344069, PAC ID# 5597797712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558344069 |
| PAC ID by PECOS | 5597797712 |
| Professional Enrollment ID | I20050908000210 |
| Full Name | Chakradhar Desaraju |
| Organization Legal Name | WEST FLORIDA MEDICAL ASSOCIATES P A |
| Address |
6201 N Suncoast Blvd Crystal River FL 34428-6712 |
| Phone Number | 3527958490 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9032023221 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100249 | SEVEN RIVERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 3527958490 | WEST FLORIDA MEDICAL ASSOCIATES P A |
| Organization Legal Name | WEST FLORIDA MEDICAL ASSOCIATES P A |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alberto P Lorenzo | Internal Medicine | West Florida Medical Associates P A | 10489 N Florida Ave, Citrus Springs, FL 34434-3268 |
| David J Deam | General Practice | West Florida Medical Associates P A | 756 N Suncoast Blvd, Crystal River, FL 34429-9072 |
| Ulhas Tarikere Deven | Internal Medicine | West Florida Medical Associates P A | 11707 N Williams St, Dunnellon, FL 34432-5855 |
| Bhadresh Patel | Internal Medicine | West Florida Medical Associates P A | 213 S Pine Ave, Inverness, FL 34452-4830 |
| Venugopala A. Reddy | Internal Medicine | West Florida Medical Associates P A | 405 N Central Ave, Inverness, FL 34453-3838 |
| Rajendra Bellam | Internal Medicine | West Florida Medical Associates P A | 20021 Sw 111th Pl, Dunnellon, FL 34432-4786 |
| Catherine Navarro | Family Medicine | West Florida Medical Associates P A | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 |
| Shirishkuma G Patel | General Practice | West Florida Medical Associates P A | 2669 N Florida Ave, Hernando, FL 34442-4331 |
| Alistair W Co | Family Medicine | West Florida Medical Associates P A | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 |
| Mariananda P Kumar | Internal Medicine | West Florida Medical Associates P A | 502 W Highland Blvd, Inverness, FL 34452-4720 |
| Street Address |
6201 N SUNCOAST BLVD |
| City | CRYSTAL RIVER |
| State | FL |
| Zip | 34428-6712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Navarro | Family Medicine | West Florida Medical Associates P A | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 |
| Stacy L Bahner | Certified Registered Nurse Anesthetist (crna) | C R Anesthesia Pa | 6201 N Suncoast Blvd, Seven Rivers Reg Mc, Crystal River, FL 34423-0457 |
| Tonialatoya Wallace-eley | Pathology | Tamarac Pathology Group Pa | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 |
| Leonard Calodney | Anesthesiology | C R Anesthesia Pa | 6201 N Suncoast Blvd, Seven Rivers Reg Mc, Crystal River, FL 34423-0457 |
| Alistair W Co | Family Medicine | West Florida Medical Associates P A | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 |
| Fernando A Esclopis | Pathology | Tamarac Pathology Group Pa | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 |
| William Lee | Anesthesiology | C R Anesthesia Pa | 6201 N Suncoast Blvd, Seven Rivers Reg Mc, Crystal River, FL 34423-0457 |
| Susan K Miller | Certified Registered Nurse Anesthetist (crna) | C R Anesthesia Pa | 6201 N Suncoast Blvd, Seven Rivers Reg Mc, Crystal River, FL 34423-0457 |
| Ryte Baksiene | Anesthesiology | C R Anesthesia Pa | 6201 N Suncoast Blvd, Seven Rivers Reg Mc, Crystal River, FL 34423-0457 |
| Cheng S Li | General Practice | West Florida Medical Associates P A | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anastasia Solovieva | Obstetrics/gynecology | 1919 Nwus Hwy 19, Crystal River, FL 34428 | |
| William R Gelinas | Vascular Surgery | 11535 W Emerald Oaks Dr, Crystal River, FL 34428-2815 | |
| Kamalesh Amin | Diagnostic Radiology | Amin Radiology Inc | 922 N Citrus Ave, Crystal River, FL 34428-3409 |
| Scott R Fisher | Diagnostic Radiology | Amin Radiology Inc | 922 N Citrus Ave, Crystal River, FL 34428-3409 |
| Janet K Slawinski | Nurse Practitioner | Nature Coast High Risk Medical Management LLC | 921 N Citrus Ave, Crystal River, FL 34428-3422 |
| Darrin Lee Mcghan | Physician Assistant | Nature Coast Primary Care Pllc | 921 N Citrus Ave, Crystal River, FL 34428-3422 |
| Dennis Montfort | Nurse Practitioner | Nature Coast Primary Care Pllc | 921 N Citrus Ave, Crystal River, FL 34428-3422 |
| Ashley Wisenbaker | Nurse Practitioner | Nature Coast Primary Care Pllc | 921 N Citrus Ave, Crystal River, FL 34428-3422 |
| Kenneth L Savage Jr. | Family Medicine | Nature Coast High Risk Medical Management LLC | 921 N Citrus Ave, Crystal River, FL 34428-3422 |
| Mario A Mendizabal | Family Medicine | Nature Coast Primary Care Pllc | 921 N Citrus Ave, Crystal River, FL 34428-3422 |
| Find all physicians in zip 34428 | |||
| City | CRYSTAL RIVER |
| Zip Code | 34428 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CRYSTAL RIVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Chakradhar Desaraju.
| 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.