Divyaswathi Citla Sridhar

MD | Pediatric Hematology-Oncology | Female

---

Complete Profile:

Divyaswathi Citla Sridhar basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Divyaswathi Citla Sridhar
Credential :	MD
Gender :	Female

Business Address:

Divyaswathi Citla Sridhar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Way # 512-10 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-2270
Fax Number :	501-364-2295

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1679981229
NPI Entity Type :	Individual
First Enrolment Date :	28 Jul, 2014
Last Updated On :	18 Aug, 2020

Medicare Participation:

Divyaswathi Citla Sridhar participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1456776855
Medicare Enrollment ID :	I20200803000027
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2013
Accepts Medicare?	Yes. Divyaswathi Citla Sridhar accepts medicare insurance.

Group Practice Association:

Divyaswathi Citla Sridhar is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Divyaswathi Citla Sridhar is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	4301 W Markham St 783 Medical College Physicians Group Little Rock, AR - 722057101 Ph: 5016868000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divyaswathi Citla Sridhar are as mentioned. Primary taxonomy code for Divyaswathi Citla Sridhar, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	E-12928	AR
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	E-12928	AR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Way # 653 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1100
Fax Number :	501-364-4082

Business Location:

Patients can refer following map for directions to Divyaswathi Citla Sridhar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.