Devendra Rao Koganti (NPI# 1659334829, PAC ID# 5698879930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1659334829 |
| PAC ID by PECOS | 5698879930 |
| Professional Enrollment ID | I20100826000773 |
| Full Name | Devendra Rao Koganti |
| Organization Legal Name | SOUTHERN REGIONAL MEDICAL CENTER, INC |
| Address |
11 Upper Riverdale Rd Sw Riverdale GA 30274-2615 |
| Phone Number | 7709918000 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 7214836436 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110078 | EMORY UNIVERSITY HOSPITAL MIDTOWN |
| 110010 | EMORY UNIVERSITY HOSPITAL |
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| 110191 | PIEDMONT HENRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1776 Old Spring House Ln, Atlanta, GA 30338-6225 | 7704540091 | EMORY MEDICAL GROUP, LLC |
| 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 7709918000 | SOUTHERN REGIONAL MEDICAL CENTER, INC |
| Organization Legal Name | SOUTHERN REGIONAL MEDICAL CENTER, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vikram R Mandadi | Interventional Cardiology | Southern Regional Medical Center, Inc | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Street Address |
11 UPPER RIVERDALE RD SW |
| City | RIVERDALE |
| State | GA |
| Zip | 30274-2615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan S Shear | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Janine Pettiford | General Surgery | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Marlena C Cain | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Nidhi Khanna | General Surgery | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Michael Issac Serotoff | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Portia Siwawa | General Surgery | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Eugene H Harris Iii | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Hilary Chukwudinma Nwosu | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Suite 21, Riverdale, GA 30274-2615 |
| Richard M Sobel | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Jinu P Kamdar | General Surgery | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Waikel | Chiropractic | 7075 Church St, Riverdale, GA 30274-2306 | |
| Gokarnesan Natarajan | Orthopedic Surgery | 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441 | |
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Felix Pelaez | General Surgery | 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518 | |
| Jun-ki Park | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Feroze A Yusufji | Orthopedic Surgery | 6525 Professional Pl A, Riverdale, GA 30274-2519 | |
| Mark Guerdan | Anesthesiology | 6525 Professional Pl B, Riverdale, GA 30274-2519 | |
| Terry L Dickerson | Podiatry | 6567 Professional Pl, Riverdale, GA 30274-2519 | |
| Xuandao L Nguyen | Optometry | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Ahmed M Nassar | Ophthalmology | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Find all physicians in zip 30274 | |||
| City | RIVERDALE |
| Zip Code | 30274 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | RIVERDALE + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Devendra Rao Koganti.
| 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.