NAGESWARA R MANDAVA (NPI# 1275534711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275534711 |
Entity Type | Individual |
Full Name | NAGESWARA R MANDAVA |
Credential | MD |
Practice Address |
14601 45th Ave Suite 405 Flushing NY 11355-2200 |
Mailing Address |
Po Box 740008 Rego Park NY 11374-0008 |
Practice Telephone | 7186705202 |
Practice Fax Number | 7186705312 |
Mailing Telephone | 7186705202 |
Mailing Fax Number | 7186705312 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2010-06-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
165321 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01124258 | 05 |
Street Address |
14601 45TH AVE SUITE 405 |
City | FLUSHING |
State | NY |
Zip Code | 11355-2200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194243303 | Zhen Yang | Social Worker | 14601 45th Ave, Flushing, NY 11355-2200 | 2017-09-07 |
1871942599 | Ya Joo Jung | Pharmacist | 14601 45th Ave, Flushing, NY 11355-2200 | 2016-06-03 |
1487012506 | Waiming Wu | Pharmacist | 14601 45th Ave, Flushing, NY 11355-2200 | 2016-02-03 |
1205257870 | Karen Fung | Social Worker | 14601 45th Ave, Flushing, NY 11355-2200 | 2013-12-26 |
1568703619 | Flushing Hospital Medical Center | Clinic/Center | 14601 45th Ave, Suite # 205, Flushing, NY 11355-2200 | 2013-03-13 |
1578865192 | Xiao Hui Wang | Obstetrics & Gynecology | 14601 45th Ave, Suite 203, Flushing, NY 11355-2200 | 2010-12-02 |
1609182427 | Anna Chernilevskaya | Social Worker | 14601 45th Ave, Flushing, NY 11355-2200 | 2010-08-31 |
1629384466 | Robert Francis Lopez | Psychologist | 14601 45th Ave, 310, Flushing, NY 11355-2200 | 2010-08-30 |
1700191970 | Yasmin Rashid | Social Worker | 14601 45th Ave, 310, Flushing, NY 11355-2200 | 2010-08-12 |
1962736249 | Nalini C Jani | Counselor | 14601 45th Ave, 310, Flushing, NY 11355-2200 | 2009-09-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
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Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801838545 | Pierre Frank Saldinger | Surgery | 56-45 Main Street, W-ll300, Flushing, NY 11355-5045 | 2006-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992334379 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Fl 3, Carmel, NY 10512-3997 | 2020-04-07 |
1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
1336620004 | Jianhong Winson Tan | Surgery | 1233 York Ave Apt 20n, New York, NY 10065-6342 | 2018-08-22 |
1306348610 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Ste C126, Carmel, NY 10512-3997 | 2018-03-02 |
1316286404 | Harold O Douglass Jr. | Surgery | 72 Andover Ln, Williamsville, NY 14221-3309 | 2013-02-08 |
1811246382 | Iain James Nixon | Surgery | 1378 York Ave, Apt 1c, New York, NY 10021-3415 | 2012-08-30 |
1578819595 | Dong Kyu Kim | Surgery | 118 Foxwood Dr, Jericho, NY 11753-1116 | 2012-07-27 |
1881965903 | William Mahoney | Surgery | 15 Eileen's Path, Box 2738, East Hampton, NY 11937 | 2012-01-20 |
1649551953 | Manuela J Junqueira | Surgery | 303 E 60th St Apt 24f, New York, NY 10022-1523 | 2011-08-31 |
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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.