Sreebhavi Professional Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SREEBHAVI PROFESSIONAL CORPORATION

Practice address

340 Hawkins Run Rd
Midlothian, TX 76065-6638

Phone

(972) 546-5660

Fax

(972) 782-5232

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Vivekanand Dasari, MD

Title

Owner/Physician

Phone

(201) 289-7621

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivekananda Dasari, MD

  • Pediatrics Physician
  • Midlothian, TX
  • NPI 1396010526
  NPD
• Bhargavi Kola, MD

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1376848358
  NPD

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1619575487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HAWKINS RUN RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656638",
            "telephone_number": "972-546-5660",
            "fax_number": "972-782-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HAWKINS RUN RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656638",
            "telephone_number": "972-546-5660",
            "fax_number": "972-782-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREEBHAVI PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "VIVEKANAND",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "201-289-7621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soyokaze LLC
• SP Rheumatology PLLC
• Timothy David Spellings, LMFT-ASSOCIATE
• Teia Spencer, APRN-CNP
• Paige Spillers, NP
• Amy Fortenbury Standifer, LPC
• Kristina Lisa Stanley, DC
• Kristin Stelzer, LPC-ASSOCIATE
• Jerica Stepter, D.C.
• Shirley Annette Stewart-Wilson

• Pediatrics Physician in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.