Shonalatha J Sudarshan (NPI# 1164484374, PAC ID# 9739219049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1164484374 |
PAC ID by PECOS | 9739219049 |
Professional Enrollment ID | I20100614000289 |
Full Name | Shonalatha J Sudarshan |
Organization Legal Name | SRIRAM AND SHONALATHA SUDARSHAN NORTH TEXAS CARDIOLOGY CENTER, LLP |
Address |
2101 9th St Wichita Falls TX 76301-4133 |
Phone Number | 9407664488 |
Gender | F |
Graduation Year | 1968 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 6406757343 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450010 | UNITED REGIONAL HEALTH CARE SYSTEM |
450827 | KELL WEST REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2101 9th St, Wichita Falls, TX 76301-4133 | 9407664488 | SRIRAM AND SHONALATHA SUDARSHAN NORTH TEXAS CARDIOLOGY CENTER, LLP |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | SRIRAM AND SHONALATHA SUDARSHAN NORTH TEXAS CARDIOLOGY CENTER, LLP |
Physicians | 1 |
Street Address |
2101 9TH ST |
City | WICHITA FALLS |
State | TX |
Zip | 76301-4133 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shafi G Mohamed | Thoracic Surgery | Wichita Falls Heart Clinic Pllc | 2101 9th St, Wichita Falls, TX 76301-4133 |
Shanda Leigh Hernandez | Physician Assistant | Wichita Falls Heart Clinic Pllc | 2101 9th St, Wichita Falls, TX 76301-4133 |
Name | Specialty | Organization | Address |
---|---|---|---|
Corene C Crouse | Nurse Practitioner | United Regional Physician Group | 1605 10th St, Heart Failure Clinic, Wichita Falls, TX 76301 |
Tina M Gingrich | Obstetrics/gynecology | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Barbara Anne Estment | Family Practice | North Central Texas Community Health Care Center Inc | 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 |
Esther A Rivera Gambaro | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Beverly A Wilbur | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Sheryl J Harrington | Clinical Social Worker | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Daniela Johnson | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Yao J Huang | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Ellaheh Ebrahim | Family Medicine | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Ming Yang Bi | Family Practice | North Central Texas Community Health Care Center Inc | 200 Mlk Blvd, Wichita Falls, TX 76301-1152 |
Find all physicians in zip 76301 |
City | WICHITA FALLS |
Zip Code | 76301 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | WICHITA FALLS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.