VENKATRAM NETHALA MD PC (NPI# 1184958464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184958464 |
| Entity Type | Organization |
| Organization Name | VENKATRAM NETHALA MD PC |
| Practice Address |
85 Spring St Suit # 3b Laconia NH 03246-3113 |
| Mailing Address |
Po Box 7299 Laconia NH 03247-7299 |
| Practice Telephone | 6035277116 |
| Practice Fax Number | 6037376762 |
| Mailing Telephone | 6035277116 |
| Mailing Fax Number | 6037376762 |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2009-09-20 |
| Authorized Official Name | VENKATRAM NETHALA (PRESIDENT) |
| Authorized Official Telephone | 6035277116 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
8994 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
85 SPRING ST SUIT # 3B |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770028870 | Jennifer Pearson | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2016-12-28 |
| 1871037218 | Stacy Casella | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2016-12-05 |
| 1700331584 | Laconia Internal Medicine, Pllc | Internal Medicine | 85 Spring St, Suite 404, Laconia, NH 03246-3113 | 2016-08-22 |
| 1194016162 | Lrghealthcare | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2011-04-26 |
| 1417261033 | Ana C Zamora Martinez | Internal Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2010-08-06 |
| 1992024533 | Patrick Ryan Stevens | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2010-05-21 |
| 1649598012 | Lrghealthcare | Clinic/Center | 85 Spring St, Suite 302, Laconia, NH 03246-3169 | 2010-05-11 |
| 1508199027 | Carlene M Vasquez-brown | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2009-09-16 |
| 1871753830 | Kamen Sashev Rangelov | Internal Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2008-06-12 |
| 1992979637 | Catherine M. Austin | Speech-Language Pathologist | 85 Spring St, Lrghealthcare Speech Therapy, Laconia, NH 03246-3113 | 2008-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1679565980 | Robert Jeffrey Lootens | Internal Medicine | 85 Spring Street, Suite 2a1, Laconia, NH 03246-3113 | 2005-08-22 |
| 1114018322 | Mary-claire Sampas Paicopolis | Internal Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2006-09-27 |
| 1730108945 | Ayesha Nazeer | Internal Medicine | 85 Spring St, Suite 2 A1, Laconia, NH 03246-3113 | 2006-07-19 |
| 1801824107 | Alan Smith Rosenfeld | Internal Medicine | 85 Spring St, Suite 2a-1, Laconia, NH 03246-3113 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568761716 | Jean Touchan | Internal Medicine | 73 Corporate Dr Ste 201, Portsmouth, NH 03801 | 2011-03-26 |
| 1720220577 | Russell R Fiore | Internal Medicine | 36 Meadowood Dr, Exeter, NH 03833-4738 | 2009-03-25 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| 1518122779 | Whitney Coppolino | Internal Medicine | 67 Corporate Dr, Ste 200, Portsmouth, NH 03801 | 2008-07-26 |
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1770592297 | Donna Darlene Adams | Internal Medicine | 246 Pleasant Street, Suite 103, Memorial Medical Office Building, Concord, NH 03301 | 2006-08-05 |
| 1750314878 | Yuka Endo | Internal Medicine | 8 Prospect St # 1184, Nashua, NH 03060-3925 | 2006-07-09 |
| 1043287337 | Anil K. Mukerjee, Md, LLC | Internal Medicine | 134 Cottage St, Littleton, NH 03561-4203 | 2006-03-05 |
| 1245205046 | Laconia Cardiology | Internal Medicine | 369 Hounsell Avenue, Suite #5, Gilford, NH 03249 | 2006-02-23 |
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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.