Srikietr Dhana, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01025756 Issued in IN

Practice address

8300 Broadway
Suite C
Merrillville, IN 46410-8602

Phone

(219) 738-1916

Fax

(219) 736-5685

NPI assigned

Oct 24, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Sothlake Children's Clinic, LLC

  • Pediatrics Physician
  • Merrillville, IN
  • NPI 1023380342
  NPD (past) Authorized official

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750371530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY",
            "address_2": "SUITE C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108602",
            "telephone_number": "219-738-1916",
            "fax_number": "219-736-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY",
            "address_2": "SUITE C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108602",
            "telephone_number": "219-738-1916",
            "fax_number": "219-736-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANA",
        "first_name": "SRIKIETR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01025756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldi E Deschamps, MD
• Jonathan Destjean
• Breanna Devine
• Avinash Nanikram Devnani, MD
• Brie Deyoung
• Mohammed Diabor, PHARMD
• Dialysis Care Center Merrillville LLC
• Diamond Health Group
• Rachel Dick, BCBA, MA
• Carly Dietz

• Pediatrics Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Pediatrics Physician in Indiana

• 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.