KONDAL MADARAM (NPI# 1003952144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003952144 |
| Entity Type | Individual |
| Full Name | KONDAL MADARAM |
| Credential | MD |
| Practice Address |
1000 S Columbia Rd Grand Forks ND 58201-4032 |
| Practice Telephone | 7017805000 |
| Mailing Telephone | 7017805000 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2015-01900 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
11373 | ND | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD434924 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1000 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636423 | Kirsten D Peterson | Internal Medicine | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2005-06-01 |
| 1942733852 | Melissa Vanwynsberghe | Occupational Therapist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2017-04-07 |
| 1154862985 | Kevin Viken | Physical Therapist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2017-03-13 |
| 1023567377 | Morgan Barry | Physical Therapy Assistant | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2016-09-28 |
| 1619423423 | Danielle Weinreis | Physical Therapy Assistant | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2016-08-31 |
| 1588022743 | Renae Elizabeth Johnson | Nurse Anesthetist, Certified Registered | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2016-02-03 |
| 1891161071 | Amaka Onyeka | Nurse Practitioner | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2015-08-11 |
| 1366837221 | Merri Vacura | Occupational Therapist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2015-03-30 |
| 1750770319 | Marie Reuter | Speech-Language Pathologist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2015-01-20 |
| 1841698933 | Kari Renfrow | Pharmacist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2014-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376958397 | Kenneth Chidi Asogwa | Psychiatry & Neurology | 860 S Columbia Rd, Grand Forks, ND 58201 | 2014-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124064431 | Laura B Schield | Psychiatry & Neurology | 2787 97th Ave Nw, Bismarck, ND 58503-8452 | 2006-06-22 |
| 1245541895 | Stephanie Jallen | Psychiatry & Neurology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2010-06-29 |
| 1619297785 | Jacqueline M Bell | Psychiatry & Neurology | 1900-8th Ave. S.e., Minot, ND 58701-4935 | 2010-06-10 |
| 1346479185 | Nivedita Sudhir Nadkarni | Psychiatry & Neurology | 1702 University Drive South, Fargo, ND 58103 | 2009-07-14 |
| 1538218391 | Jane Charlotte Gaffrey | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103-1929 | 2007-01-10 |
| 1326119884 | Deidre L Richards | Psychiatry & Neurology | 1900 8th Ave Se, Minot, ND 58701-4935 | 2006-11-13 |
| 1306867528 | Jeanine L Roembach | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-22 |
| 1982622528 | Kenneth J Fischer | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-18 |
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on KONDAL MADARAM.
| 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.