DR. MALLEESWARI NELLORE (NPI# 1174651848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174651848 |
| Entity Type | Individual |
| Full Name | DR. MALLEESWARI NELLORE |
| Other Name | MALLEESWARI GANGIREDDY |
| Credential | M.D. |
| Practice Address |
11608 Brockman Ln Great Falls VA 22066-1138 |
| Practice Telephone | 8884642466 |
| Mailing Telephone | 8884642466 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101268824 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
11608 BROCKMAN LN |
| City | GREAT FALLS |
| State | VA |
| Zip Code | 22066-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291256 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1020 Seneca Road, Great Falls, VA 22066 | 2018-07-10 |
| 1427408020 | Brightview Great Falls, LLC | Alzheimer Center (Dementia Center) | 10200 Colvin Run Road, Great Falls, VA 22066 | 2016-06-15 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1114214582 | Sarah E Bellman | Physical Therapist | 766 Walker Rd Ste B, Great Falls, VA 22066 | 2011-07-06 |
| 1700178316 | Farzad Davoudian | Psychiatry & Neurology | 1025 Riva Ridge Dr, Great Falls, VA 22066 | 2011-05-15 |
| 1407162019 | William E Bylund | Emergency Medicine | 327 Canterwood Ln, Great Falls, VA 22066 | 2010-08-20 |
| 1043465974 | Austin Leigh Giunta Churchill | Physical Medicine & Rehabilitation | 746 Walker Rd Ste 12, Great Falls, VA 22066 | 2008-11-19 |
| 1295906766 | Hwi Y Suh | Psychiatry & Neurology | 9811 Thunderhill Ct, Great Falls, VA 22066 | 2008-03-12 |
| 1033244249 | Nahid Ghassemi | Nursing Facility/Intermediate Care Facility | 10130b Colvin Run Rd., Great Falls, VA 22066 | 2007-02-21 |
| 1972608578 | Debra Anne Zeh | Pediatrics | 10134 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| Find all providers in zip 22066 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811062870 | Advanced Neurology Specialists Pllc | Psychiatry & Neurology | 400 15th Ave S Ste 206, Great Falls, MT 59405-4375 | 2006-11-22 |
| 1528050283 | Walter A Lajara-nanson | Psychiatry & Neurology | 1401 25th Street South, 3rd Floor, Great Falls, MT 59405-5183 | 2005-08-18 |
| 1053495432 | William E Henning | Psychiatry & Neurology | 400 15th Ave S, Ste 206, Great Falls, MT 59405-4375 | 2006-10-24 |
| 1871677245 | Dennis W. Dietrich | Psychiatry & Neurology | 400 15th Ave S, Ste 206, Great Falls, MT 59405-4375 | 2006-10-24 |
| 1831172816 | Eliad T Culcea | Psychiatry & Neurology | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-11-23 |
| 1972504850 | Deborah D Dover | Psychiatry & Neurology | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1790342285 | Neural Network Pllc | Psychiatry & Neurology | 4660 Kenmore Ave Ste 408, Alexandria, VA 22304-1306 | 2019-05-21 |
| 1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
| 1750870556 | Evergreen Neurology and Sleep Center | Psychiatry & Neurology | 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 | 2018-05-07 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1023533718 | Riverside Physician Services Inc. | Psychiatry & Neurology | 659 Hospital Rd Ste 101, Tappahannock, VA 22560-7000 | 2017-08-03 |
| 1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
| 1144676701 | Andrew Keith Worthington | Psychiatry & Neurology | 4200 Sulgrave Rd, Richmond, VA 23221-3255 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 22066 |
Please comment or provide details below to improve the information on DR. MALLEESWARI NELLORE.
| 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.