CHANUKYA RAMA DAHAGAM (NPI# 1003103953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003103953 |
| Entity Type | Individual |
| Full Name | CHANUKYA RAMA DAHAGAM |
| Credential | PHARM.D., M.D. |
| Practice Address |
1701 W Charleston Blvd Ste 230 Department of Cardiology Las Vegas NV 89102-2312 |
| Practice Telephone | 7026712358 |
| Practice Fax Number | 7026712376 |
| Mailing Telephone | 7026712358 |
| Mailing Fax Number | 7026712376 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 15771 | AL | Pharmacy Service Providers |
| Y | 207R00000X | Internal Medicine | 18951 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1701 W CHARLESTON BLVD STE 230 DEPARTMENT OF CARDIOLOGY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871722025 | Mahendran Jayaraj | Internal Medicine | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2009-07-09 |
| 1770106890 | Nazanin Houshmand | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-05-22 |
| 1275152993 | Steven Dong-won Kim | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-13 |
| 1912526831 | Ariel D Go Jr. | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-10 |
| 1447879440 | Timothy Jiang | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-10 |
| 1619506037 | Ariyon Schreiber | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-07 |
| 1336778612 | Osman Rahimi | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-07 |
| 1144859430 | Saima Nur | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-07 |
| 1588293880 | Edward Wang | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-07 |
| 1225667918 | Nathan Woodbury Camp | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1578162848 | Desert Teleheart Inc | Internal Medicine | 12384 Middle Creek St, Las Vegas, NV 89138 | 2020-10-19 |
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| 1215546932 | 5 Star Medical Health Services LLC | Internal Medicine | 1363 W Owens Ave, Las Vegas, NV 89106-2432 | 2020-07-28 |
| 1376160291 | Qazi, Ribeiro, and Shah Pllc | Internal Medicine | 1925 Village Center Cir Ste 150, Las Vegas, NV 89134-6261 | 2020-06-26 |
| 1639791791 | Spring Mountain Medical Center Pllc | Internal Medicine | 4276 Spring Mountain Rd Unit 211, Las Vegas, NV 89102-8781 | 2020-05-12 |
| 1720609555 | Alia Parveen Inc | Internal Medicine | 337 Rezzo St, Las Vegas, NV 89138-4624 | 2020-05-04 |
| 1225658982 | Ejo Mannaparambil John Md Pllc | Internal Medicine | 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 | 2020-04-23 |
| 1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
| 1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
| 1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.