DR. DEVAGUPTAPU BHASKAR RAO (NPI# 1235142142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235142142 |
| Entity Type | Individual |
| Full Name | DR. DEVAGUPTAPU BHASKAR RAO |
| Credential | MD |
| Practice Address |
1 Centurian Dr Suite 307 Newark DE 19713-2137 |
| Practice Telephone | 3025438100 |
| Practice Fax Number | 3025438905 |
| Mailing Telephone | 3025438100 |
| Mailing Fax Number | 3025438905 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
C100006062 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 467501100 | 05 | |
| MID ATLANTIC | H55353 | 01 | |
| CHAMPUS | 510315372001 | 01 | |
| NJ | 8756503 | 05 | |
| PA | PENNSYLVANIA BLUE CROSS | 2101752000 | 01 |
| MAMSI | 231653 | 01 | |
| DE | 0001181001 | 05 | |
| DE | DELAWARE BLUE CROSS | BLUE CROSS | 01 |
| OPTIMUM CHOICE | 231653 | 01 | |
| FIRST STATE HEALTH PLAN | H55353 | 01 | |
| DELAWARE VALLEY HMO | 2101752000 | 01 |
| Street Address |
1 CENTURIAN DR SUITE 307 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122559 | Carolyn M Moffa | Nurse Practitioner | 1 Centurian Dr, Ste 200, Newark, DE 19713-2137 | 2005-05-31 |
| 1184168700 | Skylar Genevieve Kulbacki | Chiropractor | 1 Centurian Dr, Suite 104, Newark, DE 19713-2137 | 2016-12-16 |
| 1770948598 | Meagan Theresa Monte | Genetic Counselor, MS | 1 Centurian Dr, Suite 312, Newark, DE 19713-2137 | 2015-12-21 |
| 1457776296 | Bayhealth Medical Center, Inc. | Clinic/Center | 1 Centurian Dr, Suite 208, Newark, DE 19713-2137 | 2014-03-04 |
| 1255754347 | Kristen Dopf | Physician Assistant | 1 Centurian Dr, Suite 310a, Newark, DE 19713-2137 | 2014-01-27 |
| 1316370125 | Tracy Nicole Scott | Physical Therapist | 1 Centurian Dr, Newark, DE 19713-2137 | 2013-08-15 |
| 1689916017 | Dawn Jackson | Massage Therapist | 1 Centurian Dr, Suite 303, Newark, DE 19713-2137 | 2013-03-24 |
| 1699026815 | Tiffany Kathleen Garcia | Chiropractor | 1 Centurian Dr, Suite 310b, Newark, DE 19713-2137 | 2012-09-27 |
| 1881944239 | Gregg Fink D.m.d., Inc. | Dentist | 1 Centurian Dr, Suite 213, Newark, DE 19713-2137 | 2012-09-13 |
| 1912265380 | Maura Ellen Hinckle | Nurse Practitioner | 1 Centurian Dr, Newark, DE 19713-2137 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437415684 | Reid A Ravin | Surgery | 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718-2200 | 2012-04-02 |
| 1932276755 | Zafar Jamil | Surgery | 306 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-29 |
| 1992818421 | Thomas K Evans | Surgery | 1 Centurian Dr Ste 307, Newark, DE 19713 | 2006-08-17 |
| 1356343586 | William H Phillips | Surgery | 1371 West Main Street, Newark, OH 43055 | 2005-06-01 |
| 1427306240 | Delaware Vascular and Vein Center, LLC | Surgery | 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 | 2012-08-28 |
| 1366716060 | Vascular Specialists, P.a. | Surgery | 1 Centurian Dr, Suite 307, Newark, DE 19713-2137 | 2012-02-28 |
| 1689984940 | Asclepius Vascular Services PC | Surgery | 111 Central Avenue, Newark, NJ 07102 | 2010-10-20 |
| 1083858872 | Joe T. Huang | Surgery | 150 Bergen St, F-102, Newark, NJ 07103-2496 | 2009-04-24 |
| 1043379290 | Delaware Vascular Associates P A | Surgery | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2 Suite 1208, Newark, DE 19713-2072 | 2006-12-06 |
| 1821101312 | Frederic Todd Harad | Surgery | 4735 Ogletown Stanton Road, Suite 1e20, Newark, DE 19713 | 2006-08-17 |
| Find all providers in NEWARK | ||||
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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.