DR. NARESH MULLAGURI (NPI# 1275973661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275973661 |
Entity Type | Individual |
Full Name | DR. NARESH MULLAGURI |
Credential | M.D. |
Practice Address |
200 Patewood Dr Ste B350 Greenville SC 29615-6337 |
Mailing Address |
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 |
Practice Telephone | 8644544500 |
Practice Fax Number | 8644544505 |
Mailing Telephone | 8645228614 |
Enumeration Date | 2013-06-28 |
Last Update Date | 2020-07-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
MD84022 | SC | Allopathic & Osteopathic Physicians |
Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
MD84022 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MISSOURI TEMPORARY LICENSE NUMBER | 2013021067 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1 Hospital Dr, Columbia, MO 652015276 | 5738821515 | 5738840070 |
9500 Euclid Ave, Cleveland, OH 441955276 | 8002232273 |
Street Address |
200 PATEWOOD DR STE B350 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-6337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588653273 | Thomas Joseph Fox Jr. | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2005-10-17 |
1821648676 | Andrea Lee Fowler | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2019-09-13 |
1801442595 | Megan Sloan | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2019-08-18 |
1902313018 | Ngan Kim Ward | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2018-01-10 |
1134645641 | Sarah Jungmee Mcnight | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-08-16 |
1679097794 | Lauren Walpole Scarborough | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-07-31 |
1134668239 | Ashley Denneil Alexander | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-02-22 |
1578935904 | Sarah Denes Morris | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2015-10-26 |
1134516594 | Dery Ann Miller | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2015-04-22 |
1235559352 | Venkatachalam Kumar Veerappan | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2014-04-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
Find all providers in zip 29615 |
Taxonomy Code | 2084A2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurocritical Care |
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598100349 | Anand Venkatraman | Psychiatry & Neurology | 111 Doctors Dr, Greenville, SC 29605-5622 | 2013-05-07 |
1780858753 | Ryan Kian Hakimi | Psychiatry & Neurology | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2008-04-21 |
City | GREENVILLE |
Zip Code | 29615 |
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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.