Southern Cardiovascular Care, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

29602 Issued in AL

Legal business name

SOUTHERN CARDIOVASCULAR CARE, PC

Practice address

1800 Fairview Ave Ste 1
Dothan, AL 36301-3059

Phone

(334) 699-8900

Fax

(334) 699-7498

NPI assigned

Dec 4, 2013

Last updated

Dec 4, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Srinivasa R Chennareddy, MD

Title

Physician

Phone

(334) 699-8900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1003247842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FAIRVIEW AVE STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013059",
            "telephone_number": "334-699-8900",
            "fax_number": "334-699-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FAIRVIEW AVE STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013059",
            "telephone_number": "334-699-8900",
            "fax_number": "334-699-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARDIOVASCULAR CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "CHENNAREDDY",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-699-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "29602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Dothan, AL
• Providers in Dothan, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.