RAVINDER R BACHIREDDY (NPI# 1023094703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023094703 |
| Entity Type | Individual |
| Full Name | RAVINDER R BACHIREDDY |
| Credential | M.D. |
| Practice Address |
310 Gaslight Blvd Lufkin TX 75904-3133 |
| Practice Telephone | 9366328787 |
| Practice Fax Number | 9366328832 |
| Mailing Telephone | 9366328787 |
| Mailing Fax Number | 9366328832 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
F8398 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127937403 | 05 |
| Street Address |
310 GASLIGHT BLVD |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866844 | Jessica Michelle Bryan | Nurse Practitioner | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2018-09-25 |
| 1558881466 | Michael Eddins | Registered Nurse | 310 Gaslight Blvd, Lufkin, TX 75904 | 2017-06-21 |
| 1609222785 | Jamie S Huckabee | Nurse Practitioner | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2016-05-09 |
| 1841675253 | Tammy Danise Smith | Clinical Nurse Specialist | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2015-07-27 |
| 1548669526 | Morgan Bryan Naranjo | Nurse Practitioner | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2014-08-15 |
| 1932458502 | Amirreza Solhpour | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2012-08-29 |
| 1497014641 | Rohit V. Kedia | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2012-05-09 |
| 1669777033 | East Texas Heart & Vascular Imaging of Lufkin, Pa | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2011-01-17 |
| 1598099327 | Ilyas Mohammed Khan | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2009-09-26 |
| 1215180047 | Christie Pheona Lathan | Nurse Practitioner | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2008-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| 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 |
|---|---|---|---|---|
| 1568579233 | Vivek Mangla | Internal Medicine | 710 Gaslight Blvd Ste A, Lufkin, TX 75904-3187 | 2006-08-25 |
| 1427528439 | Comprehensive Cardiac Care Pllc | Internal Medicine | 710 Gaslight Blvd, Lufkin, TX 75904 | 2018-12-03 |
| 1871032201 | Heart & Vascular Diagnostic Clinic Pa | Internal Medicine | 710 Gaslight Blvd, Suite A, Lufkin, TX 75904-3153 | 2017-02-17 |
| 1932458502 | Amirreza Solhpour | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2012-08-29 |
| 1497014641 | Rohit V. Kedia | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2012-05-09 |
| 1598099327 | Ilyas Mohammed Khan | Internal Medicine | 310 Gaslight Blvd, Lufkin, TX 75904-3133 | 2009-09-26 |
| 1184854721 | Subramanya Vara Prasad Gajaraju Venkata | Internal Medicine | 710 Gaslight Blvd Ste A, Lufkin, TX 75904-3187 | 2009-07-16 |
| 1750570008 | Pickett Heart Clinic | Internal Medicine | 1111 W Frank Ave, Suite 203, Lufkin, TX 75904-3303 | 2007-10-22 |
| 1699784603 | Steven Leigh Feld | Internal Medicine | 710 Gaslight Blvd, Ste A, Lufkin, TX 75904-3153 | 2006-08-07 |
| 1093764284 | David A Ladden | Internal Medicine | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2006-05-08 |
| Find all providers in LUFKIN | ||||
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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.