HUDSON SHORES MEDICAL GROUP PLLC (NPI# 1205934148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205934148 |
| Entity Type | Organization |
| Organization Name | HUDSON SHORES MEDICAL GROUP PLLC |
| Practice Address |
1500 2nd Ave Watervliet NY 12189-2800 |
| Practice Telephone | 5182720028 |
| Mailing Telephone | 5182720028 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-03-18 |
| Authorized Official Name | DR. RAM AGRAWAL B (PRESIDENT) |
| Authorized Official Telephone | 5182720028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02177677 | 05 |
| Street Address |
1500 2ND AVE |
| City | WATERVLIET |
| State | NY |
| Zip Code | 12189-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154431492 | Rajendra Ishwarbhi Patel | Surgery | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2006-08-30 |
| 1467948109 | Christina Paddon | Family Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2018-07-05 |
| 1427419498 | Ram B Agrawal, Md PC | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2016-03-17 |
| 1689046682 | Razaali H. Mamdani, Md, Pllc | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2015-10-29 |
| 1922278035 | American Horizon Medical Pllc | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2008-03-04 |
| 1922287416 | Rajendra Patel, PC | Surgery | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2007-10-31 |
| 1760587067 | Razaali H Mamdani | Specialist | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2006-09-13 |
| 1285739789 | Tahir Effendi | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2006-09-13 |
| 1982708467 | Ram B Agrawal | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2006-09-12 |
| 1164532487 | Steven Nathan Goldstein | Surgery | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173744 | Edie Harris | Home Health Aide | 358 Watervliet Shaker Rd Unit A, Watervliet, NY 12189 | 2015-09-10 |
| 1689960163 | Sharon Mahoney | Speech-Language Pathologist | 11 Haswell Road, Watervliet, NY 12189 | 2011-06-23 |
| 1427279009 | Shakil Ali Virjee | Dentist | 1533 2nd Ave, Watervliet, NY 12189 | 2007-05-01 |
| 1952466286 | Watervliet City School District | Local Education Agency (LEA) | 1245 Hillside Drive, Watervliet, NY 12189 | 2006-12-27 |
| 1083788152 | Mahendra Ganjhu | Internal Medicine | 310 23rd Street, Watervliet, NY 12189 | 2006-11-20 |
| 1871012906 | Zhaleh Laliberte Lavasani | Speech-Language Pathologist | 32 Cohoes Road, Watervliet, NY 12189 | 2017-09-09 |
| 1861917924 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1901 2nd Ave, Watervliet, NY 12189 | 2017-08-10 |
| 1952783755 | Heather Sliwinski | Early Intervention Provider Agency | 32 Cohoes Road, Achievements and Kids Express, Watervliet, NY 12189 | 2015-06-29 |
| 1699051326 | Kelly Ann Rost | Social Worker | 11 Haswell Road, Watervliet, NY 12189 | 2011-10-26 |
| 1861585168 | Gattu N Rao | Surgery | 815 19th Street, First Fl., Watervliet, NY 12189-0187 | 2006-10-02 |
| Find all providers in zip 12189 | ||||
| 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 |
|---|---|---|---|---|
| 1609910744 | Nilda D Orzame Md Pllc | Internal Medicine | 3881 North M-140 Hwy, Watervliet, MI 49098 | 2007-02-19 |
| 1093886194 | Satik Amirbekian | Internal Medicine | 1 Bell Tower Dr, Watervliet, NY 12189-2333 | 2006-11-11 |
| 1639105109 | Ashok Baghel | Internal Medicine | 2425 Broadway, Watervliet, NY 12189-2231 | 2006-06-24 |
| 1962985911 | Samaritan Hospital of Troy, New York | Internal Medicine | 1 Bell Tower Dr, Watervliet, NY 12189-2333 | 2018-09-14 |
| 1689046682 | Razaali H. Mamdani, Md, Pllc | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2015-10-29 |
| 1053725267 | Erika Suzanne Nearpass | Internal Medicine | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2014-06-16 |
| 1336570175 | Baghel Medical Pllc | Internal Medicine | 2425 Broadway, Watervliet, NY 12189-2231 | 2013-12-04 |
| 1922278035 | American Horizon Medical Pllc | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2008-03-04 |
| 1285739789 | Tahir Effendi | Internal Medicine | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2006-09-13 |
| 1174550172 | Son H Phung | Internal Medicine | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2006-06-26 |
| Find all providers in WATERVLIET | ||||
| City | WATERVLIET |
| Zip Code | 12189 |
Please comment or provide details below to improve the information on HUDSON SHORES MEDICAL GROUP PLLC.
| 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.