MEDICARE: SREERAMYA KANUMILLI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	30666857	PA
2	208000000X	Pediatrics Physician	A162741	CA

General Provider Information

NPI Number	:	1336670025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SREERAMYA KANUMILLI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9602
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91346-9602
Country	:	US
Telephone Number	:	818-837-5559
Fax Number	:	818-792-4793

Provider Business Practice Location Address
First Line	:	191 S BUENA VISTA
Second Line	:	SUITE 100
City	:	BURBANK
State	:	CA
Zip	:	91505-4562
Country	:	US
Telephone Number	:	818-365-9531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	07/15/2020

Similar Medicare Providers

1629947395 — ERICA RAQUEDAN
Practice Location Address:

191 S BUENA VISTA ST STE 340
BURBANK, CA
91505-4562

Practice Phone: 818-559-7500
Practice Fax:

1366649089 — DR. TODD LEE HARSHBARGER M.D.
Practice Location Address:

191 S BUENA VISTA ST STE 370
BURBANK, CA
91505-4562

Practice Phone: 213-787-7834
Practice Fax: 213-559-0929

1366742629 — KAMRON KENNETH HAKHAMIMI M.D.
Practice Location Address:

191 S BUENA VISTA ST STE 335
BURBANK, CA
91505-4562

Practice Phone: 818-561-4733
Practice Fax:

1043562911 — HEALTHY WOMAN, INC
Practice Location Address:

191 SOUTH BUENA VISTA STREET , #340-30
BURBANK, CA
91505-4562

Practice Phone: 818-559-7500
Practice Fax: 818-559-6453

1609280478 — ELI AHDOOT D.O
Practice Location Address:

191 S BUENA VISTA ST STE 370
BURBANK, CA
91505-4562

Practice Phone: 310-526-7144
Practice Fax: 310-526-7157

1023559697 — GENESIS COMPREHENSIVE MEDICAL GROUP
Practice Location Address:

191 S BUENA VISTA ST STE 335
BURBANK, CA
91505-4562

Practice Phone: 818-561-4733
Practice Fax:

Directions to “ SREERAMYA KANUMILLI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.