PRADEEP KUMAR MANDYA JAVARAYEE


Address: 411 E Chestnut St, Louisville, KY 40202
Phone: 5025883650

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100587860 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3333 Burnet Ave, Mlc 2015, Cincinnati, OH 452293026 5136364222 5136363980
411 E Chestnut St, Louisville, KY 40202 5025883650 5025887852

Office Location

Street Address 411 E CHESTNUT ST
City LOUISVILLE
State KY
Zip Code 40202

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City LOUISVILLE
Zip Code 40202

Improve Information

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Dataset Information

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.

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