Patalam S Sriharsha (NPI# 1154377562, PAC ID# 9234392390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1154377562 |
| PAC ID by PECOS | 9234392390 |
| Professional Enrollment ID | I20120530000166 |
| Full Name | Patalam S Sriharsha |
| Organization Legal Name | NORTHEAST COUNSELING SERVICES |
| Address |
750 E Broad St Hazleton PA 18201-6835 |
| Phone Number | 5704556385 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 5799768115 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390084 | SUNBURY COMMUNITY HOSPITAL |
| 390185 | LEHIGH VALLEY HOSPITAL - HAZLETON |
| Address | Phone | Organization |
|---|---|---|
| 750 E Broad St, Hazleton, PA 18201-6835 | 5704556385 | NORTHEAST COUNSELING SERVICES |
| Organization Legal Name | NORTHEAST COUNSELING SERVICES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajendra P Gajula | Psychiatry | Northeast Counseling Services | 750 E Broad St, Hazleton, PA 18201-6835 |
| Dorothy A Perillo | Physician Assistant | Northeast Counseling Services | 750 E Broad St, Hazleton, PA 18201-6835 |
| Kashif A Khan | Psychiatry | Northeast Counseling Services | 750 E Broad St, Hazleton, PA 18201-6835 |
| Street Address |
750 E BROAD ST |
| City | HAZLETON |
| State | PA |
| Zip | 18201-6835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajendra P Gajula | Psychiatry | Northeast Counseling Services | 750 E Broad St, Hazleton, PA 18201-6835 |
| Dorothy A Perillo | Physician Assistant | Northeast Counseling Services | 750 E Broad St, Hazleton, PA 18201-6835 |
| Kashif A Khan | Psychiatry | Northeast Counseling Services | 750 E Broad St, Hazleton, PA 18201-6835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle A Davenport | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Providers, PC | 1062 N Church St, Hazleton Ambulatory, Hazleton, PA 18201 |
| Leonard F Romanowski | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Providers, PC | 1062 N Church St, Hazleton Ambulatory, Hazleton, PA 18201 |
| Minaben D Patel | Internal Medicine | 851 Mcnair St, Hazleton, PA 18201-2275 | |
| Dilipkuma J Patel | Pulmonary Disease | 851 Mcnair St, Hazleton, PA 18201-2275 | |
| Anthony Urillo | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Thomas Plaza | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Tammy R Marushin | Occupational Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Ericka Mary Ondeck | Occupational Therapy | 1109 W 15th St, Hazleton, PA 18201-2616 | |
| Jeffrey R Platek | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Anthony R Griguoli | Chiropractic | 1109 W 15th St, Hazleton, PA 18201-2616 | |
| Find all physicians in zip 18201 | |||
| City | HAZLETON |
| Zip Code | 18201 |
| Specialty | PSYCHIATRY |
| City + Specialty | HAZLETON + PSYCHIATRY |
Please comment or provide details below to improve the information on Patalam S Sriharsha.
| 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.