Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Channaiah Srikanth Mysore

Individual provider Neurology Physician · NPI 1881900652

Channaiah Srikanth Mysore is a Neurology in Salisbury, Maryland. Qualified in 2000, 26 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
26
Licensed in
MD
In the registry since
2010
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Practice location Address checks out

100 E Carroll St
Salisbury, MD 21801
Phone: (800) 749-5191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence D77961 (MD)

Record details

NPI number1881900652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address100 E Carroll St, Salisbury, MD 21801-5493

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Salisbury