THARA DAMODARAN MD LLC (NPI# 1023237864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023237864 |
| Entity Type | Organization |
| Organization Name | THARA DAMODARAN MD LLC |
| Practice Address |
515 N Mesa Dr Mesa AZ 85201-5914 |
| Mailing Address |
Po Box 1518 Gilbert AZ 85299-1518 |
| Practice Telephone | 4807208744 |
| Practice Fax Number | 4806569802 |
| Mailing Telephone | 6023777103 |
| Mailing Fax Number | 4806569802 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THARA R DAMODARAN (OWNER) |
| Authorized Official Telephone | 4807208744 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35774 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ORGANIZATION REGISTRATION | L13560915 | 01 |
| Street Address |
515 N MESA DR |
| City | MESA |
| State | AZ |
| Zip Code | 85201-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453019 | Advanced Cardiac Specialists, Chartered | Clinic/Center | 515 N Mesa Dr, Ste. 100, Mesa, AZ 85201-5914 | 2005-08-04 |
| 1326306333 | Earl Lee Begay | Health Educator | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2012-04-27 |
| 1841515756 | Dcmd Pain Management Pllc | Clinic/Center | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2010-04-02 |
| 1396060208 | Arizona Pain Management Specialists | Pain Medicine | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2010-04-02 |
| 1164658035 | Daylyn Ison | Occupational Therapist | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2009-06-05 |
| 1114153087 | Stephanie Leigh Gerdes | Community Health Worker | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2009-06-05 |
| 1306070453 | Christopher Jay Delbridge | Radiology | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2009-05-04 |
| 1225277585 | Nicole A Galiano | Pharmacist | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2009-02-10 |
| 1831336098 | Apache Junction Hospital, LLC | Rehabilitation Unit | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2009-01-09 |
| 1245488519 | Emergency Medical Solutions, Ltd. | Emergency Medicine | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2008-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1750355483 | Steven L. Oscherwitz M.d., P.C. | Internal Medicine | 4022 E Presidio St, Mesa, AZ 85215-1113 | 2006-02-17 |
| 1841662293 | Celestine Tchikounzi Pllc | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2015-10-26 |
| 1134591589 | Pilu Dali Pllc | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2015-10-26 |
| 1699069435 | Aniket Vadnerkar Pllc | Internal Medicine | 4022 E Presidio St, Mesa, AZ 85215-1113 | 2011-06-08 |
| 1790971760 | Celestine L. Tchikounzi | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2007-09-24 |
| 1215020052 | Aparajita Singh | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2006-10-02 |
| 1649293895 | Joseph K Zachariah | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2006-07-26 |
| 1790701191 | Pilu Dali | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2006-07-15 |
| 1952361271 | Maria Alexov | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2006-03-23 |
| 1346229895 | Shashikala Ameneni | Internal Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2006-01-12 |
| Find all providers in MESA | ||||
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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.