PRAVEENA GANDIKOTA (NPI# 1285849513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285849513 |
| Entity Type | Individual |
| Full Name | PRAVEENA GANDIKOTA |
| Credential | MD |
| Practice Address |
One Medical Center Blvd Suite 424 Upland PA 19013 |
| Practice Telephone | 6103381820 |
| Practice Fax Number | 6103381825 |
| Mailing Telephone | 6103381820 |
| Mailing Fax Number | 6103381825 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD440569 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT 185538 | PA | Student, Health Care |
| Street Address |
ONE MEDICAL CENTER BLVD SUITE 424 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014628 | Calvin Randolph Stafford Jr. | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2005-06-28 |
| 1609495035 | Lindsay Alexandra West | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Acp Suite 332, Upland, PA 19013 | 2020-04-15 |
| 1780171876 | Alice Shen | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Department of Medicine, Third Floor, East Wing, Upland, PA 19013 | 2018-04-16 |
| 1679002083 | Kirankumar Patel | Internal Medicine | One Medical Center Blvd, Department of Medicine 3 East, Upland, PA 19013 | 2017-06-08 |
| 1194130328 | Baotram Ngoc Luu | Physician Assistant | One Medical Center Blvd, Suite 404, Upland, PA 19013 | 2014-06-26 |
| 1821424102 | Andrew Joseph Mehalick | Internal Medicine | One Medical Center Blvd, Bldg 1 - Suite 400, Upland, PA 19013 | 2013-09-18 |
| 1790048437 | Michael Andrew Lashner | Internal Medicine | One Medical Center Blvd, Bldg 1 - Suite 400, Upland, PA 19013 | 2012-06-18 |
| 1437411352 | Crozer Chester Medical Center | General Acute Care Hospital | One Medical Center Blvd, Acp 332, Upland, PA 19013 | 2012-06-15 |
| 1306112644 | Dexter Doromal Jacob | Internal Medicine | One Medical Center Blvd, Bldg 1 Ste 400, Upland, PA 19013-3902 | 2012-03-30 |
| 1831408871 | Aashay Navin Patel | Internal Medicine | One Medical Center Blvd, Suite 404, Upland, PA 19013-3902 | 2010-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1881906568 | Bashar G Saad Md Inc | Internal Medicine | 630 N 13th Ave, Ste E, Upland, CA 91786-4975 | 2010-07-09 |
| 1043538010 | Inland Empire Medical Network,inc. | Internal Medicine | 585 N Mountain Ave, Suite C, Upland, CA 91786-8516 | 2010-05-14 |
| 1407972490 | Rubina Aqeel | Internal Medicine | 1183 E Foothill Blvd, Suite 260, Upland, CA 91786-4049 | 2007-03-21 |
| 1902847726 | Rubina Aqeel Md Inc | Internal Medicine | 1183 E Foothill Blvd, Ste 260, Upland, CA 91786-4049 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219022 | Millcreek Community Hospital | Internal Medicine | 5535 Peach St Fl 1, Erie, PA 16509-2603 | 2020-03-06 |
| 1972133056 | Taylor Talasky | Internal Medicine | 311 Center St Apt 2, Lock Haven, PA 17745-2710 | 2020-01-17 |
| 1316425275 | Pinnacle Health Medical Services | Internal Medicine | 3130 Grandview Rd Ste 2, Hanover, PA 17331-9134 | 2018-08-02 |
| 1841777190 | Katelyn S Reisenauer | Internal Medicine | 240 W 11th St Ste 2, Erie, PA 16501-1758 | 2018-07-19 |
| 1871094623 | Adams Endocrinology Associates LLC | Internal Medicine | 20 Expedition Trl Ste 101, Gettysburg, PA 17325-8599 | 2018-02-27 |
| 1427561075 | Diabetes and Endocrinology Consultants of Pennsylvania LLC | Internal Medicine | 1234 Bridgetown Pike Ste 310, Feasterville Trevose, PA 19053-2208 | 2017-11-06 |
| 1053830646 | Langhorne Physician Services | Internal Medicine | 1205 Langhorne Newtown Rd Ste 302, Langhorne, PA 19047 | 2017-09-14 |
| 1255857538 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 | 2017-08-17 |
| 1912429739 | Gateway Medical Specialists, LLC | Internal Medicine | 795 E Marshall St Ste G2, West Chester, PA 19380-4400 | 2017-07-13 |
| 1801336466 | Sabrina Meftali | Internal Medicine | St. Luke's Center for Diabetes and Endocrinology, 5445 Lanark Road Suite 300, Center Valley, PA 18034 | 2017-03-01 |
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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.