MANOHAR ANGIREKULA (NPI# 1023007085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023007085 |
| Entity Type | Individual |
| Full Name | MANOHAR ANGIREKULA |
| Credential | M.D. |
| Practice Address |
720 Golder Ave Odessa TX 79761-4442 |
| Practice Telephone | 4323373117 |
| Practice Fax Number | 4323373117 |
| Mailing Telephone | 4323373117 |
| Mailing Fax Number | 4323373117 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | L2101 | TX | Other Service Providers |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2002-0295 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L2101 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149880003 | 05 |
| Street Address |
720 GOLDER AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441428 | Fernando Boccalandro | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| 1255986402 | Alexandra R Fierro | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-08-05 |
| 1487119426 | Kailea D Walker | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-02-04 |
| 1265769004 | Araceli Romero | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2009-11-16 |
| 1700061736 | Tejas P Patel | Internal Medicine | 720 Golder Ave, Odessa, TX 79761-4442 | 2008-01-09 |
| 1194855817 | Juanita C Lopez | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2007-03-06 |
| 1821131855 | Odessa Heart Institute | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2007-02-15 |
| 1578503231 | Ma Ellen Novicio | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2006-06-08 |
| 1659361970 | Zoila Reyna Barrera | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-27 |
| 1124017173 | Sudhir Amaram | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477814028 | West Texas Cardiology Pa | Internal Medicine | 501 Golder Ave Ste 203a, Odessa, TX 79761-4440 | 2012-05-30 |
| 1336423169 | Raja Naidu Md Pa | Internal Medicine | 605 E. 4th St, Suite 203, Odessa, TX 79761-5100 | 2011-09-28 |
| 1861784399 | Adam Jeffery Farber | Internal Medicine | 540 W 5th St Ste 460, Odessa, TX 79761 | 2011-05-03 |
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1346478013 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 605 E. 4th St., Suite 200, Odessa, TX 79761-5100 | 2009-07-01 |
| 1972516516 | Pankaj V. Patel, M.d.,p.a. | Internal Medicine | 540 W 5th St Ste 310, Odessa, TX 79761-5062 | 2006-08-14 |
| 1528065893 | Ramachandra Kolluru | Internal Medicine | 420e6th Street, Odessa, TX 79761-4537 | 2005-07-01 |
| 1427050780 | Suresh N Gadasalli M D P A | Internal Medicine | 500 E 4th St, Odessa, TX 79761-5110 | 2005-06-01 |
| 1992127195 | Arrhythmia Consultants of Texas Pa | Internal Medicine | 420 E 6th St, Suite 201b, Odessa, TX 79761-4529 | 2014-01-08 |
| 1578854436 | Cardiovascular Specialists of Texas, P.a | Internal Medicine | 315 Golder Ave, Suite B, Odessa, TX 79761-5043 | 2011-04-27 |
| Find all providers in ODESSA | ||||
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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.