KRISHNAMOHAN REDDY BASARAKODU


Address: 1118 Ross Clark Cir Ste 200, Dothan, AL 36301
Phone: 3349444673

KRISHNAMOHAN REDDY BASARAKODU (NPI# 1235248477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235248477
Entity Type Individual
Full Name KRISHNAMOHAN REDDY BASARAKODU
Credential MD
Practice Address 1118 Ross Clark Cir Ste 200
Dothan
AL 36301
Mailing Address 1400 Afflink Place, Suite 100
Tuscaloosa
AL 35406
Practice Telephone 3349444673
Practice Fax Number 3347123309
Mailing Telephone 2053669740
Mailing Fax Number 2053449992
Enumeration Date 2006-08-30
Last Update Date 2018-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
2007001544 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 1118 ROSS CLARK CIR STE 200
City DOTHAN
State AL
Zip Code 36301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275047094 Houston County Healthcare Authority Internal Medicine 1118 Ross Clark Cir Ste 200, Dothan, AL 36301-3029 2017-12-01
1437599875 Mazen Zaarour Internal Medicine 1118 Ross Clark Cir Ste 200, Dothan, AL 36301 2013-06-30
1265552657 Sri Laxmi Valasareddi Internal Medicine 1118 Ross Clark Cir Ste 200, Dothan, AL 36301 2007-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043862931 Pharmacy Center South LLC Pharmacy 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 2019-07-11
1851879167 Attallah Cotton Social Worker 101 Eastridge Dr, Dothan, AL 36301 2018-07-31
1225522709 Nichole Johnson Prestwood Nurse Practitioner 2431 W Main St Ste 501, Dothan, AL 36301 2018-06-19
1750805818 Kimberly Danielle Austin Speech-Language Pathologist 404 Darlington Cir, Dothan, AL 36301 2017-07-31
1952794885 Lori P. Granberry Pharmacist 2131 Ross Clark Circle, Dothan, AL 36301 2015-03-17
1801286059 Robert Cody Russell Nurse Practitioner 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 2015-01-27
1720407646 Michael Kreger Anesthesiology 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 2014-04-08
1063851277 Carlos Stanford Clark II Family Medicine 201 Doctors Drive, Dothan, AL 36301 2013-06-20
1639489313 Robert Fort Hambaugh Jr. Specialist 712 Woodland Drive, Dothan, AL 36301 2010-10-15
1588894976 Atwill Lamar Miller Jr. Urology 1908 Fairview Avenue, Dothan, AL 36301 2009-07-20
Find all providers in zip 36301

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275047094 Houston County Healthcare Authority Internal Medicine 1118 Ross Clark Cir Ste 200, Dothan, AL 36301-3029 2017-12-01
1437599875 Mazen Zaarour Internal Medicine 1118 Ross Clark Cir Ste 200, Dothan, AL 36301 2013-06-30
1619136413 Jawaunna Talon Blackmon Internal Medicine 287 Healthwest Dr, Dothan, AL 36303-2031 2008-06-06
1942393913 Dothan Hematology & Oncology, P. C. Internal Medicine 287 Healthwest Dr, Dothan, AL 36303-2031 2006-10-02
1720170053 Michael Scott Mcallister Internal Medicine 287 Healthwest Dr, Dothan, AL 36303-2031 2006-09-28
1659471639 Rafael David Mayor Internal Medicine 287 Healthwest Dr, Dothan, AL 36303-2031 2006-09-22
1124128046 John Rees Dunn Jr. Internal Medicine 287 Healthwest Dr, Dothan, AL 36303-2031 2006-09-22
1053361220 Ramaseetha Gutta Internal Medicine 1540 E Main St, Dothan, AL 36301-3012 2006-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801211958 Antonio Di Stasi Internal Medicine 1802 6th Ave S # Np255, Birmingham, AL 35233-1932 2014-02-26
1417398033 Rehan Ajmal Sarmad Internal Medicine 625 19th Street South Birmingham, Birmingham, AL 35249 2013-07-11
1336409838 Marshall Medical Center South Medical Oncology Services Internal Medicine 2505 U. S. Highway 431, Boaz, AL 35957-9999 2012-05-18
1548550833 John Richard Nicholson IIi Internal Medicine 201 Sivley Rd Sw Ste 200, Huntsville, AL 35801-5177 2011-04-08
1093018681 Shelby-chilton Hematology and Oncology LLC Internal Medicine 644 2nd St Ne Ste 202, Alabaster, AL 35007-8823 2010-12-21
1003122573 Amitkumar Mehta Internal Medicine 1720 2nd Ave S # Np2540t, Birmingham, AL 35294-3528 2010-08-23
1447579644 Alabama Cancer Care, LLC Internal Medicine 171 Town Center Dr Ste 6, Anniston, AL 36205 2010-05-27
1033443775 Hematology & Oncology Associates of Alabama Internal Medicine 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 2009-09-29
1831350198 David James Mooney Internal Medicine 513 Brookwood Blvd Ste 275, Birmingham, AL 35209-6806 2008-06-19
1578755815 Oncology Specialties, PC Internal Medicine 310 8th Ave Se, Decatur, AL 35601 2007-08-10
Find all providers with the same taxonomy

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City DOTHAN
Zip Code 36301

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Dataset Information

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.

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