PRADEEP KUMAR MANDYA JAVARAYEE (NPI# 1033550298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033550298 |
| Entity Type | Individual |
| Full Name | PRADEEP KUMAR MANDYA JAVARAYEE |
| Credential | M.D. |
| Practice Address |
411 E Chestnut St Louisville KY 40202 |
| Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
| Practice Telephone | 5025883650 |
| Practice Fax Number | 5025887852 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
52287 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100587860 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 Burnet Ave, Mlc 2015, Cincinnati, OH 452293026 | 5136364222 | 5136363980 |
| 411 E Chestnut St, Louisville, KY 40202 | 5025883650 | 5025887852 |
| Street Address |
411 E CHESTNUT ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751044 | Lisa Rachelle Klein | Pediatrics | 411 E Chestnut St, Louisville, KY 40202-1713 | 2005-06-27 |
| 1629686977 | Kennedy Paige Richardson | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-07-22 |
| 1487279089 | Laura Allen | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-06-10 |
| 1104448927 | Daniel Winn Serber | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-05-14 |
| 1952941924 | Sarah Hayden | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-01-08 |
| 1477190635 | Bethany Ann Plummer | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-12-06 |
| 1578123444 | Hallie Shpack Lyninger | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-06-13 |
| 1255994968 | Lori Rae Hibbs | Social Worker | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-04-18 |
| 1255857421 | Blakley E Hackman | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202 | 2017-08-18 |
| 1972026797 | Lara Marie Isaacs | Speech-Language Pathologist | 411 E Chestnut St, Louisville, KY 40202-1713 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early 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 |
|---|---|---|---|---|
| 1831550243 | Cemal Karakas | Psychiatry & Neurology | 411 E Chestnut St # St6, Louisville, KY 40202-1713 | 2016-03-11 |
| 1841617727 | Christopher Ryan Barton | Psychiatry & Neurology | 411 E Chestnut St, Louisville, KY 40202 | 2014-03-27 |
| 1043641483 | University of Louisville Research Foundation | Psychiatry & Neurology | 401 E Chestnut St, Suite 510, Louisville, KY 40202-5700 | 2013-12-11 |
| 1972860997 | University of Louisville Physicians, Inc. | Psychiatry & Neurology | 550 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2012-04-16 |
| 1891061438 | University of Louisville Physicians, Inc. | Psychiatry & Neurology | 601 S Floyd St, Suite 503, Louisville, KY 40202-1835 | 2012-03-28 |
| 1942590724 | Elizabeth Shelton Doll | Psychiatry & Neurology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2011-04-13 |
| 1326278342 | Samir Rameshchandra Karia | Psychiatry & Neurology | 601 S Floyd St Ste 500, Louisville, KY 40202-1837 | 2009-07-24 |
| 1790929685 | Michael S. Oldham | Psychiatry & Neurology | 601 S Floyd St, 500, Louisville, KY 40202-1837 | 2009-04-23 |
| 1497753495 | James William Holmes | Psychiatry & Neurology | 601 S Floyd St, Suite 503, Louisville, KY 40202-1835 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477683191 | Donita Dillon Lightner | Psychiatry & Neurology | 149 Old Towne Walk Apt 8101, Lexington, KY 40511-2197 | 2007-03-06 |
| 1215461702 | Rodolfo Andres Lewy | Psychiatry & Neurology | University of Kentucky 800 Rose Street, Lexington, KY 40536 | 2017-04-12 |
| 1215390489 | Michael N Karras | Psychiatry & Neurology | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2016-04-04 |
| 1003278540 | David Neil Toupin | Psychiatry & Neurology | 740 S Limestone St, Room L445, Lexington, KY 40536-0293 | 2016-03-23 |
| 1407136690 | Arpita Lakhotia | Psychiatry & Neurology | 1000 Breckenridge St Ste 301, Owensboro, KY 42303-0877 | 2011-08-19 |
| 1053575704 | Kimberly S Jones | Psychiatry & Neurology | 740 S Limestone, J 401, Lexington, KY 40536-0001 | 2008-07-11 |
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on PRADEEP KUMAR MANDYA JAVARAYEE.
| 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.