Sudhir Prem Srivastava, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

062083 Issued in GA

Practice address

5665 Peachtree Dunwoody Rd NE
Suite 200
Atlanta, GA 30342-1764

Phone

(404) 252-6104

Fax

(404) 847-9683

NPI assigned

Oct 27, 2005

Last updated

Dec 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiac Surgical Associates of West Texas

  • Specialist
  • Odessa, TX
  • NPI 1093938631
  NPD (past) Authorized official
• Peachtree Cardiovascular & Thoracic Surgeons PA

  • Critical Care Medicine Nurse Practitioner
  • Atlanta, GA
  • NPI 1639484132
  NPD (past)
• Peachtree Cardiovascular Surgeons at Saint Joseph's LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlanta, GA
  • NPI 1093021172
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1598755811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 70547",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30007",
            "telephone_number": "770-579-1894",
            "fax_number": "770-579-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421764",
            "telephone_number": "404-252-6104",
            "fax_number": "404-847-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SUDHIR",
        "middle_name": "PREM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F3628",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "062083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060059517",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123718204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jahnavi Kartik Srinivasan, MD
• Pavitra Suhani Srinivasan, MD
• Shanthi Srinivasan, M.D.
• Vijay Srinivasan, M.D.
• Sharada Sripathi, PT
• Bharath Srivatsa, M.D.
• Sumathi Srivatsa, M.D
• SS OB GYN, PA
• SSC Affiliates Inc (Shepherd Apothecary)
• SSC Atlanta Operating Company LLC (Sandy Springs Health and Rehabilitation)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.