Channagiri Phanindra, M.D

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

3504-4844 Issued in OH

Practice address

12301,Snow Rd
Kaiser Permanente
Parma, OH 44130-1002

Phone

(216) 362-2741

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306906029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5391 POTOMAC DR",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412827",
            "telephone_number": "440-838-5032",
            "fax_number": "440-838-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301,SNOW RD",
            "address_2": "KAISER PERMANENTE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301002",
            "telephone_number": "216-362-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANINDRA",
        "first_name": "CHANNAGIRI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "3504-4844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vladimir Bogdan Petre, MD
• Vivian Marie Petro
• Morgan Petroff, OTR
• Madia Reeves Pewu, NP
• John Peyko, PHARMD
• Cherie Renee Phillips, M.D.
• Michael J Phillips, PHARMD, RPH
• Michelle Kay Phillips, LPN
• Honey B Philpot, STNA
• Physicians Medical Group

• Personal Emergency Response Attendant in Parma, OH
• Providers in Parma, OH by specialty
• Personal Emergency Response Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.