| Dr Ganga L Srinivas, MD | |
|
171 Ashley Ave, Charleston, SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Dr Ganga L Srinivas |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629013214 | NPI | - | NPPES |
| 258191400 | Medicaid | FL | |
| 2801098 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME79315 (Florida) | Secondary |
| 208000000X | Pediatrics | 35090759 (Ohio) | Secondary |
| 208000000X | Pediatrics | 35107 (South Carolina) | Primary |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ganga L Srinivas, MD 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-1000 | Dr Ganga L Srinivas, MD 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414 |
Andrew M Atz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Kelly Michelle Roelf, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty Street, Msc 561, Charleston, SC 29403 Phone: 310-929-0627 | |
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265 |