MEDICARE: SRIKANT NANNAPANENI 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	208M00000X	Hospitalist Physician	Q4478	TX
2	207R00000X	Internal Medicine Physician	Q4478	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	Q4478	TX
4	207R00000X	Internal Medicine Physician	0101240352	VA
5	207R00000X	Internal Medicine Physician	106234	MN

General Provider Information

NPI Number	:	1740393677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SRIKANT NANNAPANENI M.D.

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2571
Country	:	US
Telephone Number	:	434-409-3346
Fax Number	:

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	02/23/2026

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