DR. SOBHA R. KODURU (NPI# 1114232428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114232428 |
| Entity Type | Individual |
| Full Name | DR. SOBHA R. KODURU |
| Credential | M.D. |
| Practice Address |
150 Bergen St # Uhh-245 Newark NJ 07103 |
| Mailing Address |
30 Bergen Street Building 12 Room 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739725672 |
| Practice Fax Number | 9739720365 |
| Mailing Telephone | 9739720037 |
| Mailing Fax Number | 9739720743 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 48189 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 48189 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 845863 | 05 | |
| NJ | 0595403 | 05 |
| Street Address |
150 BERGEN ST # UHH-245 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144672296 | Htay Htay Kyi | Internal Medicine | 150 Bergen St # Uhh-245, Newark, NJ 07103 | 2016-07-12 |
| 1033560255 | Maninderpal Kaur | Internal Medicine | 150 Bergen St # Uhh-245, Newark, NJ 07103 | 2016-06-29 |
| 1841652286 | Chaitali Patel | Internal Medicine | 150 Bergen St # Uhh-245, Newark, NJ 07103 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508042698 | St Francis Hospitalist Group LLC | Hospitalist | 131 Continental Dr, Suite 215, Newark, DE 19713-4305 | 2008-01-18 |
| 1598204398 | Select Specialty Hospital Zanesville Inc | Hospitalist | 2000 Tamarack Rd, 2nd Floor, Newark, OH 43055-1183 | 2017-02-14 |
| 1669927513 | Northward Hospital Associates | Hospitalist | 495 N 13th St, Newark, NJ 07107-1317 | 2016-08-22 |
| 1083009336 | Tobias Banks | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718 | 2015-04-03 |
| 1104258979 | Maruf A Ali | Hospitalist | 1320 W Main St, Newark, OH 43055 | 2013-08-05 |
| 1487997896 | Gabrielle Alicia Farkas | Hospitalist | 1320 W Main St, Newark, OH 43055-1822 | 2013-04-03 |
| 1558626531 | Essex Physician Services PC | Hospitalist | 11 Central Ave, Newark, NJ 07102-3101 | 2012-07-06 |
| 1437418571 | Joseph James Santora Jr. | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-05-09 |
| 1376711044 | Abul Ahsan | Hospitalist | 1320 West Main Street, Newark, OH 43055 | 2008-02-15 |
| 1043415326 | Yuliya S Rehab | Hospitalist | 1200 Driving Park Ave, Newark, NY 14513 | 2007-06-18 |
| Find all providers in NEWARK | ||||
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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.