DR. BHASKAR GUNDABOLU (NPI# 1346458767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346458767 |
| Entity Type | Individual |
| Full Name | DR. BHASKAR GUNDABOLU |
| Credential | M.D. |
| Practice Address |
2100 W Central Ave Suite 100 Toledo OH 43606-3834 |
| Practice Telephone | 4195375111 |
| Practice Fax Number | 4195375131 |
| Mailing Telephone | 4195375111 |
| Mailing Fax Number | 4195375131 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
35088652 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BUCKEYE | 751132 | 01 |
| OH | 2831243 | 05 | |
| OH | PARAMOUNT | 6870 | 01 |
| OH | AETNA | 9567063 | 01 |
| OH | ANTHEM | 000000541140 | 01 |
| OH | MEDICAL MUTUAL | 66501560001 | 01 |
| Street Address |
2100 W CENTRAL AVE SUITE 100 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468023 | Richard A Beham | Internal Medicine | 2100 W Central Ave, Suite 100, Toledo, OH 43606-3834 | 2005-06-21 |
| 1336753953 | Saif-eddin Malhas | Internal Medicine | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-09-01 |
| 1881207074 | Saud Abdulaziz Binsufayan | Student in an Organized Health Care Education/Training Program | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-08-26 |
| 1932710399 | Wasef A Sayeh | Student in an Organized Health Care Education/Training Program | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-08-11 |
| 1891305348 | Abdulaziz Hamdan Aldhafeeri | Student in an Organized Health Care Education/Training Program | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-08-08 |
| 1285244830 | Sadikshya Sharma | Student in an Organized Health Care Education/Training Program | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-08-07 |
| 1972113298 | Ziad Abuhelwa | Internal Medicine | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-08-01 |
| 1164040366 | Waleed Shaheen Khokher | Student in an Organized Health Care Education/Training Program | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-07-14 |
| 1801411954 | Danielle Nicole Bozek | Student in an Organized Health Care Education/Training Program | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-06-15 |
| 1235754953 | Taylor Dimmerling | Student in an Organized Health Care Education/Training Program | 2100 W Central Ave, Toledo, OH 43606-3800 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| 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 |
|---|---|---|---|---|
| 1891296562 | Mohammad Shalabe | Internal Medicine | 2100 W Central Ave Ste 200, Toledo, OH 43606-3817 | 2018-02-27 |
| 1033196738 | Lakshmanrao Bhandaru | Internal Medicine | 3030 W Sylvania Ave Ste 105, Toledo, OH 43613-4147 | 2005-12-23 |
| 1568468023 | Richard A Beham | Internal Medicine | 2100 W Central Ave, Suite 100, Toledo, OH 43606-3834 | 2005-06-21 |
| 1245236793 | John E Brunner | Internal Medicine | 3140 W Central Ave, Suite 100, Toledo, OH 43606-3834 | 2005-06-21 |
| 1821535568 | Abby Grisham | Internal Medicine | 2100 W Central Ave, Toledo, OH 43606-3800 | 2017-01-19 |
| 1720498561 | Cindy Pham | Internal Medicine | 3120 Glendale Avenue, Toledo, OH 43614 | 2014-05-02 |
| 1750641007 | Sophia Ali | Internal Medicine | 2100 W Central Ave Fl 2, Toledo, OH 43606-3800 | 2012-05-21 |
| 1235459694 | Foiqa Asghar Chaudhry | Internal Medicine | 3125 Transverse Dr, Ruppert Heatlh Center, Toledo, OH 43614-8008 | 2010-06-09 |
| 1053635821 | Jennifer-kris Baldonado Hao | Internal Medicine | 3000 Arlington Ave, Mail Stop 1186, Toledo, OH 43614-2595 | 2010-03-22 |
| 1760614762 | Nasreen Faris Alfaris | Internal Medicine | 3045 Arlington Ave, Toledo, OH 43614-2570 | 2009-08-10 |
| Find all providers in TOLEDO | ||||
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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.