RAJESH H CHANDWANEY (NPI# 1174593461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174593461 |
| Entity Type | Individual |
| Full Name | RAJESH H CHANDWANEY |
| Credential | M.D. |
| Practice Address |
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243 |
| Mailing Address |
9228 S Mingo Rd Suite 200 Tulsa OK 74133-5718 |
| Practice Telephone | 9185920999 |
| Practice Fax Number | 9185921021 |
| Mailing Telephone | 9185920999 |
| Mailing Fax Number | 9188782499 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 23320 | OK | Other Service Providers |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
23320 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PTAN | OK400758 | 01 |
| OK | MEDICARE RAILROAD | P00613410 | 01 |
| OK | 200009980A | 05 | |
| OK | MEDICARE RAILROAD | P00029235 | 01 |
| Street Address |
1265 S UTICA AVE SUITE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124829 | Deanene K Tonn | Physician Assistant | 1265 S Utica Ave, Ste 300, Tulsa, OK 74104-4243 | 2005-06-17 |
| 1790318426 | Pavel Greg Buzadzhi | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2020-02-21 |
| 1447735055 | Jonathan Daniel Bouldin | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-09-28 |
| 1265910269 | Lara Madison Long | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-08-01 |
| 1760969497 | Megan L Vitrano | Clinical Nurse Specialist | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-25 |
| 1790262012 | Brooke Nichol Weaver | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1013409945 | Kristopher Wayne Mcdonald | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-06-06 |
| 1942797238 | Jay W Vazquez | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-04-23 |
| 1861937013 | Kelleigh Deeann Sprott | Physician Assistant | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2016-12-27 |
| 1083071534 | Eugenia Lynn Pulliam | Physician Assistant | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2016-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346784683 | Osu Cardiology | Internal Medicine | 802 S Jackson Ave, Suite 225, Tulsa, OK 74127-9015 | 2016-12-06 |
| 1174956890 | Sahil Agrawal | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2013-08-16 |
| 1104180553 | Ajay Joseph | Internal Medicine | 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 | 2012-06-30 |
| 1396004636 | Tucker James Harrison | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2012-05-07 |
| 1831333566 | Harsh Chittaranjan Patel | Internal Medicine | 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 | 2009-04-24 |
| 1316005333 | Robert Louis Smith Jr. | Internal Medicine | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2006-12-04 |
| 1558372854 | Melvyn Vanroy Mahon | Internal Medicine | 6151 S Yale Ave, Suite 304, Tulsa, OK 74136-1907 | 2006-08-11 |
| 1043272982 | Michael P Carney | Internal Medicine | 802 S Jackson Ave, Suite 500, Tulsa, OK 74127-9015 | 2006-04-05 |
| 1497725857 | John G Ivanoff | Internal Medicine | 10505 E 91st St, Suite 208, Tulsa, OK 74133-5801 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479324 | Parkway H&v | Internal Medicine | 3200 Quail Springs Pkwy Ste 100, Oklahoma City, OK 73134-2698 | 2018-05-31 |
| 1003315946 | Cardiac Cin of Oklahoma City LLC | Internal Medicine | 10601 S Western Ave # 3, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1891097358 | Khurram Liaqat | Internal Medicine | 9020 E Reno Ave Ste 200, Midwest City, OK 73130-3336 | 2010-12-03 |
| 1629118740 | Raghav Gupta | Internal Medicine | 5401 N Portland Ave Ste 380, Oklahoma City, OK 73112 | 2007-02-07 |
| 1699886077 | Bryan Allen Lucenta | Internal Medicine | 101 Rockefeller Dr Ste 100, Muskogee, OK 74401-5050 | 2006-08-31 |
| 1811996861 | Grand Lake Regional Cardiology Services LLC | Internal Medicine | 1001 E 18th St, Grove, OK 74344-2907 | 2005-07-20 |
| 1760486484 | Francis H Oliver | Internal Medicine | 731 12th Ave Nw, Ardmore, OK 73401-5761 | 2005-06-09 |
| 1801358981 | Cok Care of Ok, LLC | Internal Medicine | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1447754007 | Rajaram Md Pllc | Internal Medicine | 105 S Bryant Ave, Edmond, OK 73034 | 2018-03-20 |
| 1063850832 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4000, Oklahoma City, OK 73102-1068 | 2013-06-13 |
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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.