DR. PRADEEP KUMAR VANGALA (NPI# 1306889050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306889050 |
| Entity Type | Individual |
| Full Name | DR. PRADEEP KUMAR VANGALA |
| Credential | M.D. |
| Practice Address |
1507 S Hiawassee Rd Suite #107 Orlando FL 32835-5718 |
| Mailing Address |
1507 S. Hiawassee Roade Suite #107 Orlando FL 32835-1820 |
| Practice Telephone | 4074459545 |
| Practice Fax Number | 4074459365 |
| Mailing Telephone | 4074459545 |
| Mailing Fax Number | 4074459365 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0071202 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258709200 | 05 |
| Street Address |
1507 S HIAWASSEE RD SUITE #107 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578545257 | Krina A Shah | Internal Medicine | 1507 S Hiawassee Rd, Suite 107, Orlando, FL 32835-5718 | 2005-11-17 |
| 1134679111 | Jessica Josephine Radcliffe | Nurse Practitioner | 1507 S Hiawassee Rd, Orlando, FL 32835-5718 | 2016-10-13 |
| 1992166409 | Shawna Blume Hancock | Nurse Practitioner | 1507 S Hiawassee Rd, Orlando, FL 32835-5718 | 2016-03-10 |
| 1902287899 | Orlando Inpatient Medicine, Pa | Hospitalist | 1507 S Hiawassee Rd, Suite #107, Orlando, FL 32835-5718 | 2015-06-16 |
| 1700287570 | Darlene Go Md Pa | Internal Medicine | 1507 S Hiawassee Rd, Suite 115, Orlando, FL 32835-5718 | 2014-09-11 |
| 1447674676 | Laura C Quintero | Nurse Practitioner | 1507 S Hiawassee Rd, Orlando, FL 32835-5718 | 2014-02-07 |
| 1942558416 | Paolo Yuk-chi Wong | Chiropractor | 1507 S Hiawassee Rd, Ste 214, Orlando, FL 32835-5718 | 2012-08-15 |
| 1023300456 | Ann Mccullough Efremoski | Physician Assistant | 1507 S Hiawassee Rd, Suite #107, Orlando, FL 32835-5718 | 2011-05-03 |
| 1609104942 | Crystal Nicole Schmidt | Nurse Practitioner | 1507 S Hiawassee Rd, Suite 107, Orlando, FL 32835-5718 | 2009-11-24 |
| 1356677918 | Freedom Home Health | Home Health | 1507 S Hiawassee Rd, Suite #215, Orlando, FL 32835-5718 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1114531126 | Clement Clinic Pa | Internal Medicine | 1317 Edgewater Dr # 2468, Orlando, FL 32804-6350 | 2020-09-08 |
| 1104475466 | Io Medical, Pllc | Internal Medicine | 11954 Narcoossee Rd Ste 2-108, Orlando, FL 32832-6998 | 2019-09-10 |
| 1487211769 | Premier Healthcare Solutions LLC | Internal Medicine | 8958 Conroy Windermere Rd, Orlando, FL 32835-3128 | 2019-05-22 |
| 1730646787 | Magic Medical Group Inc. | Internal Medicine | 9421 S Orange Blossom Trl Ste 19, Orlando, FL 32837-8320 | 2019-02-26 |
| 1902361629 | Jeff Valsin | Internal Medicine | 453 N Kirkman Rd Ste 203453, Orlando, FL 32811-1109 | 2019-02-06 |
| 1427525963 | Colmedical Care | Internal Medicine | 7824 Lake Underhill Rd Ste A, Orlando, FL 32822-8201 | 2018-11-01 |
| 1629568159 | Fortis Medical Group, LLC | Internal Medicine | 1803 Park Center Dr Ste 103, Orlando, FL 32835-6216 | 2018-05-10 |
| 1629570262 | Rolon Medical Pllc | Internal Medicine | 7680 Lower Gateway Loop Unit 518, Orlando, FL 32827-7195 | 2018-02-28 |
| 1275068975 | Donald Mark Demke | Internal Medicine | 11579 Acosta Ave, Orlando, FL 32836-8880 | 2017-05-01 |
| 1932649829 | Veronica E Scholer Caldentey Sr. | Internal Medicine | 11958 Inagua Dr, Orlando, FL 32827-7136 | 2017-02-27 |
| Find all providers in ORLANDO | ||||
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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.