KANUBODDU NAGARJUNA REDDY (NPI# 1003349820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003349820 |
| Entity Type | Individual |
| Full Name | KANUBODDU NAGARJUNA REDDY |
| Practice Address |
1300 Miccosukee Rd Tallahassee FL 32308-5054 |
| Practice Telephone | 8504317900 |
| Practice Fax Number | 8504317990 |
| Mailing Telephone | 8504317900 |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Street Address |
1300 MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841261336 | Gregory Sydnor Laffitte | Physician Assistant | 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 | 2006-02-01 |
| 1275132987 | Anthony George Delegato | Nurse Practitioner | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-10-23 |
| 1790394039 | Muhammad Yasir Baloch | Student in an Organized Health Care Education/Training Program | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-22 |
| 1174131585 | Jiun-jye Jack Lai | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-21 |
| 1629695697 | Anna Ciara Lindsay Mason | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-25 |
| 1578189528 | Rawan Majdalawi | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-24 |
| 1124644349 | Cherie Danielle Eddinger | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-23 |
| 1235754185 | Ricardo Manuel Morales | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-16 |
| 1043834088 | Nicholas Heyse | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-05 |
| 1558983205 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912526740 | Haria Henry | Student in an Organized Health Care Education/Training Program | 5408 Touraine Dr, Tallahassee, FL 32308-5936 | 2020-04-12 |
| 1811529977 | Erin Marie Bialousz | Student in an Organized Health Care Education/Training Program | 2116 Continental Ave, Tallahassee, FL 32304-1619 | 2020-02-06 |
| 1437789948 | Sydney Mclaren Lyda | Student in an Organized Health Care Education/Training Program | 218 Sinclair Rd, Tallahassee, FL 32312-2712 | 2020-01-23 |
| 1598327132 | Husam Farraj | Student in an Organized Health Care Education/Training Program | 1300 Miccosukee Rd Fl 32308, Tallahassee, FL 32308-5054 | 2019-07-03 |
| 1104486588 | Jared Shelby Barber | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr # 2, Tallahassee, FL 32308-4614 | 2019-06-18 |
| 1972092807 | Schmiyah Smith | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd Ste 107, Tallahassee, FL 32308-4647 | 2018-05-07 |
| 1104328855 | Alexander Molinari | Student in an Organized Health Care Education/Training Program | 2432 Monaco Dr, Tallahassee, FL 32308-5913 | 2018-03-07 |
| 1417480641 | Eric Keasler | Student in an Organized Health Care Education/Training Program | 1300 Miccosukee Rd # B, Tallahassee, FL 32308-5054 | 2017-04-05 |
| 1144752247 | Jalpa Patel | Student in an Organized Health Care Education/Training Program | 1350 W Tennessee St, Tallahassee, FL 32304-7755 | 2017-03-29 |
| 1346793239 | Margaret Franklin | Student in an Organized Health Care Education/Training Program | 1101 Missionwood Ln, Tallahassee, FL 32304-1348 | 2016-07-27 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on KANUBODDU NAGARJUNA REDDY.
| 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.