ARAVIND POTHINENI


Address: 1723 Broadway Suite 205, Cape Giradeau, MO 63701
Phone: 5733317830

ARAVIND POTHINENI (NPI# 1124215124) 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) 1124215124
Entity Type Individual
Full Name ARAVIND POTHINENI
Credential MD
Practice Address 1723 Broadway Suite 205
Cape Giradeau
MO 63701
Mailing Address 1723 Broadway St Ste 205
Cape Girardeau
MO 63701-4556
Practice Telephone 5733317830
Mailing Telephone 5733317830
Enumeration Date 2007-10-03
Last Update Date 2014-11-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
2014012500 MO Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
NA NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1723 BROADWAY SUITE 205
City CAPE GIRADEAU
State MO
Zip Code 63701

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1932690377 Broadway Specialty, LLC Pharmacy 706 Broadway St, Cape Girardeau, MO 63701 2018-05-22
1356864649 Terri L. Mccord Pharmacist 4170 Connor Dr, Cape Girardeau, MO 63701 2017-07-19
1013459312 Christina Cossou Nurse Practitioner 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 2016-11-17
1124573365 Ashley Sullivan Massage Therapist 3041 Melrose Ave, Cape Girardeau, MO 63701 2016-08-17
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1639573397 Marian Perez Hurt Physical Therapist 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 2014-10-09
1891194213 Deanna Abner Case Manager/Care Coordinator 20 South Sprigg, Cape Girardeau, MO 63701 2014-08-21
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700365707 Telemedico Physicians of Missouri Internal Medicine 9191 N Ambassador Dr, Kansas City, MO 64154-7247 2018-08-09
1851807291 David Terry Curiel Internal Medicine 4950 Childrens Pl Ste 10130, Saint Louis, MO 63110-1000 2017-12-21
1598011694 Mohannad Naheid I Abu Omar Internal Medicine 5301 Faraon St Ste 210a, Saint Joseph, MO 64506-3512 2012-07-26
1922381615 Critical Care Pulmonary & Sleep Medicine Assoc LLC Internal Medicine 1390 Highway 61 Ste 2300, Festus, MO 63028-4121 2011-09-20
1851671689 Mid-mo Lung Associates, LLC Internal Medicine 1801 Brookfield Mnr, Columbia, MO 65203-6246 2011-08-24
1245535459 Midwest Acute Care Consultants, PC Internal Medicine 6698 Keaton Corporate Pkwy Ste 101, O Fallon, MO 63368-8727 2011-01-19
1699083451 Hamza Alshami Internal Medicine 2330 E Meyer Blvd Ste T303, Kansas City, MO 64132-1160 2010-09-15
1447404561 Pulmonary Specialists of The Ozarks, LLC Internal Medicine 2733 E Battlefield Rd, Springfield, MO 65804 2008-11-17
1841448198 Pulmonary Critical Care and Sleep Medicine, LLC Internal Medicine 3009 New Ballas Road, Suite 256c, St. Louis, MO 63131-2322 2008-08-28
1366698573 Steven Weintraub Internal Medicine 4475 W Pine Blvd, 1102, Saint Louis, MO 63108-2358 2008-08-07
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Competitor

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City CAPE GIRADEAU
Zip Code 63701

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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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