DR. ASHISH VIJAYAKUMAR REGULAGADDA (NPI# 1053559906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053559906 |
| Entity Type | Individual |
| Full Name | DR. ASHISH VIJAYAKUMAR REGULAGADDA |
| Credential | M.D. |
| Practice Address |
736 Broadway N Fargo ND 58122 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-2784 |
| Practice Telephone | 7012343360 |
| Practice Fax Number | 7012343868 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
14956 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
736 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip Code | 58122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700856911 | Douglas M Griffin | Family Medicine | 736 Broadway N, Fargo, ND 58102-4421 | 2006-01-23 |
| 1528666914 | Brett Brockpahler | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2020-10-16 |
| 1235756040 | Ramneet Kaur Singh | Family Medicine | 736 Broadway N, Fargo, ND 58102-4421 | 2020-06-26 |
| 1467002733 | Cassandra Nicole Flach | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2019-09-18 |
| 1710548862 | Jeremiah Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-27 |
| 1659932580 | Randy W Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-21 |
| 1427618800 | Alison Lynn Kopp | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-18 |
| 1952867178 | Heather Crystal Carkhuff | Physician Assistant | 736 Broadway N, Fargo, ND 58102-4421 | 2019-02-12 |
| 1790256329 | Danielle Jo Matta | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2018-12-07 |
| 1013483692 | Tamera Ostenaa | Family Medicine | 736 Broadway N, Fargo, ND 58122-4732 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
| 1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
| 1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
| 1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
| Find all providers in zip 58122 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1457715161 | Mahmoud Mahmoud | Internal Medicine | Sanford Medical Center, 5225 23rd Ave S, Fargo, ND 58104 | 2016-04-08 |
| 1962806448 | Jaia Rayne Ram | Internal Medicine | 4901 44th Ave S, Apt 109, Fargo, ND 58104-3992 | 2014-10-13 |
| 1396997649 | Gautam Mukund Phadke | Internal Medicine | 801 Broadway N, Sanford Health Care System, Fargo, ND 58102-3641 | 2008-10-17 |
| 1497942866 | Aqeel Ahmad | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2007-10-01 |
| 1144394388 | Byron D. Danielson | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-11-20 |
| 1891802278 | Jeffrey Wayne Skogen | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-08-23 |
| 1316964307 | Thomas D Ahlin | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2006-07-16 |
| 1740207745 | Gopal Krishna Chemiti | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-16 |
| 1639128515 | David Raymond Gelbart | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-05-09 |
| 1033189949 | Inna Malostovker | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-01-24 |
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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.