Suresh Sreedharan
M.D. | Pediatrics | Male
Suresh Sreedharan, M.D. is a Thief River Falls, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Suresh Sreedharan is
219 Brooks Avenue North, Thief River Falls, Minnesota - 56701. He can be contacted on phone at
218-681-4673.
Suresh Sreedharan is a sole proprietor of his business.
NPI number (Unique professional ID) for Suresh Sreedharan is
1285665067 which was assigned by NPPES on 06 Jul, 2006 and it was last updated on 06 Mar, 2015.
Suresh Sreedharan license number is
47461 for Pediatrics (208000000X) in Minnesota.
Suresh Sreedharan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Suresh Sreedharan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Suresh Sreedharan |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Suresh Sreedharan 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 : | 219 Brooks Avenue North
Thief River Falls, MN, 56701
United States |
|---|
| Phone Number : | 218-681-4673 |
|---|
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 : | 1285665067 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 06 Jul, 2006 |
|---|
| Last Updated On : | 06 Mar, 2015 |
|---|
Medicare Participation:
Suresh Sreedharan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7315992393 |
|---|
| Medicare Enrollment ID : | I20050314000494 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | University College Of Medicine |
|---|
| Graduation Year : | 1993 |
|---|
| Accepts Medicare? | Yes. Suresh Sreedharan accepts medicare insurance. |
|---|
Group Practice Association:
Suresh Sreedharan 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 Suresh Sreedharan is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| | | 219 Brooks Ave N
Thief River Falls, MN - 567011724
Ph: 2186814673 | May accept |
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 Suresh Sreedharan are as mentioned. Primary taxonomy code for Suresh Sreedharan, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 61310-20 | WI |
| 208000000X | Pediatrics | Yes | 47461 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Suresh Sreedharan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1285665067 | MEDICAID | WI | |
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 : | 219 Brooks Avenue North
Thief River Falls, MN, 56701
United States |
|---|
| Phone Number : | 218-681-4673 |
|---|
Business Location:
Patients can refer following map for directions to
Suresh Sreedharan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.