Kishore Sriram (NPI# 1710179908, PAC ID# 8527218114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1710179908 |
| PAC ID by PECOS | 8527218114 |
| Professional Enrollment ID | I20121016000598 |
| Full Name | Kishore Sriram |
| Organization Legal Name | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| Address |
850 N Harrison St Warsaw IN 46580-3163 |
| Phone Number | 5742677169 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7618950965 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 119 W Market St, Columbia City, IN 46725-2311 | 2602488176 | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| 2860 Northpark Ave, Huntington, IN 46750-9700 | 2603562875 | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| 2621 E Jefferson St, Warsaw, IN 46580-3880 | 5742677878 | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| 850 N Harrison St, Warsaw, IN 46580-3163 | 5742677169 | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| Organization Legal Name | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandy Imanse | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 2860 Northpark Ave, Huntington, IN 46750-9700 |
| Tammy L. Truijens | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 |
| Cinnamon L Carlson | Nurse Practitioner | The Otis R Bowen Center for Human Services Inc | 255 N Miami St, Wabash, IN 46992-2705 |
| Tayler B Johnson | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 200 Hoosier Dr E, Angola, IN 46703-9349 |
| Karla S Benitez Estrada | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 923 Cardinal Ct, Auburn, IN 46706-2678 |
| Bohyun Park | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 101 E Park Dr, Albion, IN 46701-1438 |
| Andrew S Yoder | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Larry Dean Kuhn | Clinical Psychologist | The Otis R Bowen Center for Human Services Inc | 119 W Market St, Columbia City, IN 46725-2311 |
| Ashley Erin Hunter | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 835 N Detroit St, Lagrange, IN 46761-1113 |
| Stephen J Barber | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 990 Illinois St, Plymouth, IN 46563-3622 |
| Street Address |
850 N HARRISON ST |
| City | WARSAW |
| State | IN |
| Zip | 46580-3163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew S Yoder | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Andrew Gerritt Smith | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Richard E Ruhrold | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Dawn Boughton | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Amber Joy Richards | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Rhonda Irene Hall | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kelly N Martinczak | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Julie A Moore | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Marina C Smith | Nurse Practitioner | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Bryan Alan Ciula | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Day | Chiropractic | 118 W Market St, Warsaw, IN 46580-2812 | |
| Bimala Devkota | Nurse Practitioner | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Amy K. Powers | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Timothy Thorne | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Julie D Wilke | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Jonathan Levi | Cardiovascular Disease (cardiology) | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Mary Beth Getty | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Hester S Liebetrau | Clinical Psychologist | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Deborah Lee Hedges | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Rachel Marina Miller | Nurse Practitioner | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Find all physicians in zip 46580 | |||
| City | WARSAW |
| Zip Code | 46580 |
| Specialty | PSYCHIATRY |
| City + Specialty | WARSAW + PSYCHIATRY |
Please comment or provide details below to improve the information on Kishore Sriram.
| 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.