SAI SUDHA MANNEMUDDHU (NPI# 1043626054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043626054 |
| Entity Type | Individual |
| Full Name | SAI SUDHA MANNEMUDDHU |
| Credential | MD |
| Practice Address |
1600 Sw Archer Rd Gainesville FL 32610-3009 |
| Mailing Address |
6224 Sw 25th St Miami FL 33155-3053 |
| Practice Telephone | 3522739180 |
| Mailing Telephone | 8327731125 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
ME131461 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Clinch Ave Ste 130, Knoxville, TN 379162224 | 8655463111 | 8777616691 |
| Street Address |
1600 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225060908 | Larry T Patterson | Pediatrics | 1600 Sw Archer Rd # 100296, Gainesville, FL 32610 | 2006-07-06 |
| 1962992230 | Naile Tufan Pekkucuksen | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2018-05-13 |
| 1588831291 | Kiran K Upadhyay | Pediatrics | 1600 Sw Archer Rd, Box 100296, Gainesville, FL 32610-0296 | 2008-05-12 |
| 1679594386 | Robert S Fennell IIi | Pediatrics | 1600 Sw Archer Road, Gainesville, FL 32610-0371 | 2006-07-21 |
| 1699718072 | George A Richard | Pediatrics | 1600 Sw Archer Road, Box 100371, Gainesville, FL 32610-0371 | 2006-06-14 |
| 1902847999 | Richard E. Neiberger | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| 1053352062 | Eduardo H. Garin | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114301736 | Harold Marder | Pediatrics | 14030 Old Cypress Bnd, Palm Beach Gardens, FL 33410-1121 | 2015-07-14 |
| 1366715799 | Frank William Ayestaran Cassani | Pediatrics | 17 Davis Blvd Ste 200, Tampa, FL 33606-3438 | 2012-02-15 |
| 1356655187 | Omer Mansoor | Pediatrics | 5325 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2452 | 2010-08-04 |
| 1174848378 | Jessica M Rodriguez | Pediatrics | 13101 Bruce B Dwn Blvd # 105, Tampa, FL 33612-3803 | 2010-03-30 |
| 1376552760 | Felix I. Ramirez-seijas | Pediatrics | 3200 Sw 60th Ct Ste 304, Miami, FL 33155-4071 | 2006-08-05 |
| 1629094735 | Irina F Gershin-stevens | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2006-07-14 |
| 1215965595 | Robert S. Mathias | Pediatrics | 1717 S. Orange Ave., Suite 100, Orlando, FL 32806-2946 | 2006-06-28 |
| 1437197373 | Reem Hussni Raafat | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2006-06-03 |
| 1285671628 | Ivy Boydstun | Pediatrics | 1131 N 35th Ave Fl 2, Hollywood, FL 33021 | 2006-06-02 |
| 1922055615 | Ana L Paredes | Pediatrics | 6200 Sunset Dr Ste 303, South Miami, FL 33143-4829 | 2006-05-28 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.