DR. PRASAD R KUDALKAR (NPI# 1013094382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013094382 |
| Entity Type | Individual |
| Full Name | DR. PRASAD R KUDALKAR |
| Credential | MD |
| Practice Address |
3050 Mack Rd Ste 300 Fairfield OH 45014-5376 |
| Mailing Address |
5053 Wooster Rd Cincinnati OH 45226-2326 |
| Practice Telephone | 5137512273 |
| Practice Fax Number | 5137511840 |
| Mailing Telephone | 5137512145 |
| Mailing Fax Number | 5137512138 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35089286 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100178540 | 05 | |
| OH | 2762685 | 05 | |
| IN | 201041210 | 05 |
| Street Address |
3050 MACK RD STE 300 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972529873 | Piyush Vinaykumar Patel | Internal Medicine | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2006-07-14 |
| 1801321914 | Sarah C. Mancini | Nurse Practitioner | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2017-04-26 |
| 1013224807 | Sara Ann Slaughter | Nurse Practitioner | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2010-09-01 |
| 1053442947 | Oncology Hematology Care, Inc | Home Infusion | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144303892 | Medical Specialists of Fairfield, LLC | Internal Medicine | 4699 Main Street, Fairfield, CT 06824 | 2006-10-23 |
| 1972529873 | Piyush Vinaykumar Patel | Internal Medicine | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2006-07-14 |
| 1780688275 | Oncology/ Hematology Care, Inc. | Internal Medicine | 3050 Mack Rd, Suite 300, Fairfield, OH 45014-5379 | 2005-06-13 |
| 1972507564 | Oncology/ Hematology Care, Inc. | Internal Medicine | 2960 Mack Rd, Ste 105, Fairfield, OH 45014-5374 | 2005-06-10 |
| 1124388384 | Christin B Destefano | Internal Medicine | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2012-05-22 |
| 1609163260 | Nicholas Brand Pleat | Internal Medicine | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2011-07-05 |
| 1649492166 | Kanwaldeep Kaur Rasila | Internal Medicine | 2720 Low Court, Fairfield, CA 94534-9771 | 2007-05-03 |
| 1497877500 | Yelena Krijanovski | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534-9771 | 2007-04-06 |
| 1194821868 | James Long | Internal Medicine | 1860 Pennsylvania Ave, Suite 230, Fairfield, CA 94533-3590 | 2006-09-16 |
| 1558301267 | Edward J Crane | Internal Medicine | 3050 Mack Rd, Ste 300, Fairfield, OH 45014-5379 | 2006-06-08 |
| Find all providers in FAIRFIELD | ||||
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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.