MADHAVI REDDY MANDALA (NPI# 1134232168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134232168 |
| Entity Type | Individual |
| Full Name | MADHAVI REDDY MANDALA |
| Credential | MD |
| Practice Address |
202 N Division St Ste 301 Auburn WA 98001-4939 |
| Practice Telephone | 2538337256 |
| Mailing Telephone | 2538337256 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD60253695 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036114994 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR GROUP NUMBER | CA1439 | 01 |
| IL | RR GROUP NUMBER | CE9335 | 01 |
| IL | RR MEDICARE NUMBER | P00406649 | 01 |
| IL | 036114994 | 05 | |
| IL | RR MEDICARE | P00393076 | 01 |
| Street Address |
202 N DIVISION ST STE 301 |
| City | AUBURN |
| State | WA |
| Zip Code | 98001-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649243304 | Arnold-paul C. Cua | Internal Medicine | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2006-02-10 |
| 1205076916 | Nedal Gara | Internal Medicine | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2009-02-20 |
| 1679610885 | Ki-deuk Wohlfert | Nurse Practitioner | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2007-01-30 |
| 1598847451 | Jill Turner | Internal Medicine | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2006-10-19 |
| 1659463222 | Bruce Jay Gregg | Internal Medicine | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2006-09-29 |
| 1295848281 | Nadine K Gettel | Internal Medicine | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2006-08-16 |
| 1144245168 | Stewart Craig Birse | Internal Medicine | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2006-07-12 |
| 1073552709 | Abdul R Siddiqui | Internal Medicine | 202 N Division St Ste 301, Auburn, WA 98001-4939 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1477024537 | Kayla R Kranz | Dietitian, Registered | 202 N. Division Street, Mailstop: 202-c1-ns, Auburn, WA 98001 | 2018-12-16 |
| 1477028033 | Xioaping Liu | Acupuncturist | 201 S Division St Suite F, Auburn, WA 98001 | 2018-10-10 |
| 1831670041 | Debbie Kay Scott | Dental Hygienist | 4005 W Valley Hwy N, Auburn, WA 98001 | 2018-08-25 |
| 1447739537 | Cynthia Ann Kenaston | Registered Nurse | Soundpath Health, 32129 Weyerhaeuser Way S. Suite 201, Federal Way, WA 98001 | 2018-08-09 |
| 1104316447 | Stella Ngozi Igwala | Registered Nurse | 213 Junction Blvd, Algona, WA 98001 | 2018-05-11 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1134638679 | Jane Mburu | Registered Nurse | 29568 54th Court S, Auburn, WA 98001 | 2017-09-27 |
| 1467961219 | Messay A Belachew | Registered Nurse | 29717 48th Ave S, Auburn, WA 98001 | 2017-09-25 |
| Find all providers in zip 98001 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1972012573 | Bonnie Burnham Potter | Internal Medicine | 8600 Hastings Ln, Auburn, CA 95602-7907 | 2017-09-26 |
| 1134656457 | Allyne Macam Delossantos | Internal Medicine | 201 N Division St, Auburn, WA 98001-4954 | 2017-05-17 |
| 1942618905 | Nishitha Kotla | Internal Medicine | 11795 Education St Ste 100, Auburn, CA 95602-2469 | 2014-07-22 |
| 1063702405 | David Kau | Internal Medicine | 77 Nelson Street, Suite 240, Amms Nephrology, Auburn, NY 13021-1302 | 2011-04-19 |
| 1992037253 | Geralyn Ann Flaig | Internal Medicine | 355 Racetrack St, Auburn, CA 95603-5423 | 2010-02-10 |
| 1548400278 | Wassim Assaf | Internal Medicine | 48 Auburn St Ste 1, Auburn, MA 01501-2438 | 2009-02-20 |
| 1740310291 | Charles P Sweet | Internal Medicine | 11 Midstate Drive, Umass Medical School, Auburn, MA 01501 | 2007-03-06 |
| 1891835294 | John A Abrams II | Internal Medicine | 1548 Professional Pkwy, Auburn, AL 36830-2857 | 2007-02-07 |
| 1245301324 | Auburn Internal Med Assoc Ps | Internal Medicine | 202 Division St N, # 400, Auburn, WA 98001-4939 | 2006-11-13 |
| 1073624201 | Mihaela M Hasse | Internal Medicine | 11670 Atwood Road, Auburn, CA 95603 | 2006-08-31 |
| Find all providers in AUBURN | ||||
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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.