Sri Vardhan V Kooturu (NPI# 1760633457, PAC ID# 6608929948) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760633457 |
| PAC ID by PECOS | 6608929948 |
| Professional Enrollment ID | I20111010000290 |
| Full Name | Sri Vardhan V Kooturu |
| Organization Legal Name | PRO CARE MEDICAL GROUP INC |
| Address |
1155 Rock Creek Way Concord CA 94521-5022 |
| Phone Number | 9253223442 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0648401091 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| 050496 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| 050689 | SAN RAMON REGIONAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 1155 Rock Creek Way, Concord, CA 94521-5022 | 9253223442 | PRO CARE MEDICAL GROUP INC |
| 2700 Grant St, Suite 200, Concord, CA 94520-2270 | 9256740500 | JOHN MUIR PHYSICIAN NETWORK |
| 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 9259391220 | JOHN MUIR PHYSICIAN NETWORK |
| 1601 Ygnacio Valley Rd, Suite 100, Walnut Creek, CA 94598-3122 | 9259393000 | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| Organization Legal Name | PRO CARE MEDICAL GROUP INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahid I Shaikh | Internal Medicine | Pro Care Medical Group Inc | 1155 Rock Creek Way, Concord, CA 94521-5022 |
| Street Address |
1155 ROCK CREEK WAY |
| City | CONCORD |
| State | CA |
| Zip | 94521-5022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahid I Shaikh | Internal Medicine | Pro Care Medical Group Inc | 1155 Rock Creek Way, Concord, CA 94521-5022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanja L Kujac | Physical Medicine and Rehabilitation | Tanja L Kujac Md Inc | 3806 Clayton Rd, Concord, CA 94521-2516 |
| Eric R Belusa | Chiropractic | 4425 Treat Blvd, Suite B, Concord, CA 94521-2762 | |
| Kenneth S Gee | Optometry | Gee and Doherty Optometry, P.C. | 5100 Clayton Rd, Suite D30, Concord, CA 94521-3104 |
| Bryan Michael Doherty | Optometry | Gee and Doherty Optometry, P.C. | 5100 Clayton Rd, Suite D30, Concord, CA 94521-3104 |
| Elizabeth Renner | Family Medicine | John Muir Physician Network | 5161 Clayton Rd, Suite F, Concord, CA 94521-3157 |
| Michael S Varon | Family Medicine | John Muir Physician Network | 5161 Clayton Rd, Suite F, Concord, CA 94521-3157 |
| Charles J Renner | Family Medicine | John Muir Physician Network | 5161 Clayton Rd, Suite F, Concord, CA 94521-3157 |
| Tanya A Threewitt | Family Medicine | John Muir Physician Network | 5161 Clayton Rd, Suite F, Concord, CA 94521-3157 |
| Diane B Chandler | Family Medicine | John Muir Physician Network | 5161 Clayton Rd, Suite F, Concord, CA 94521-3157 |
| Viyada Joy Michelsen | Optometry | Foresight Eyecare Optometry | 5442 Ygnacio Valley Rd, Suite 180, Concord, CA 94521-3828 |
| Find all physicians in zip 94521 | |||
| City | CONCORD |
| Zip Code | 94521 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CONCORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sri Vardhan V Kooturu.
| 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.