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

Dr. Venkata S H Kalyan Sridhara, MD

Individual provider Pediatrics Physician · NPI 1164141313

Dr. Venkata S H Kalyan Sridhara, MD is a Pediatric Medicine in Brockton, Massachusetts. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2022
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

63 Main St
Brockton, MA 02301-4042
Phone: (508) 559-6699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1022114 (MA)

Record details

NPI number1164141313
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2022
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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