Sridevi Maddineni, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

40196 Issued in KY

Practice address

73 Thompson Poynter Road
Suite B
London, KY 40741

Phone

(606) 878-6899

Fax

(606) 862-4899

NPI assigned

Feb 10, 2007

Last updated

Feb 25, 2009By the provider in NPPES

Sex

Female

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 2

Other names 1

• Mrs. Sridevi Maddineni Visa Haran Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1477694537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER ROAD",
            "address_2": "SUITE B",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-878-6899",
            "fax_number": "606-862-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER ROAD",
            "address_2": "SUITE B",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-878-6899",
            "fax_number": "606-862-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDINENI",
        "first_name": "SRIDEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "40196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000526210",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100036690",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIDEVI",
            "last_name": "VISA HARAN",
            "middle_name": "MADDINENI",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Lynch
• Macon Medical Enterprises LLC
• Madden Family Primary Care & Wellness PLLC
• Amber Madden, LPCC
• Joanie Elizabeth Madden, APRN-CNP
• Henry M Magee, O.D.
• Karla Gail Maggard, APRN, FNP-BC
• Michael Brent Maggard, D.M.D., M.S.D
• Kevin Michael Magone, MD
• Donald G Maguet, PT

• Surgery Physician in London, KY
• Providers in London, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.