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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1407800022

Channarayapatna R. Sridhara, MD is a Physical Medicine and Rehabilitation in Philadelphia, Pennsylvania. Qualified in 1972, 54 years ago. Practices with Einstein Practice Plan Inc, a 764-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
54
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2421
Phone: (215) 456-7000
Fax: (215) 254-2599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD037374L (PA)

Record details

NPI number1407800022
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESAugust 16, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Einstein Practice Plan Inc — 764 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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