KUDUVALLI OMPRAKASH (NPI# 1376504019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376504019 |
Entity Type | Individual |
Full Name | KUDUVALLI OMPRAKASH |
Credential | MD |
Practice Address |
235 Port Richmond Ave Staten Island NY 10302-1701 |
Practice Telephone | 7189242254 |
Practice Fax Number | 7184420189 |
Mailing Telephone | 7189242254 |
Mailing Fax Number | 7184420189 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2012-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 146561 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00810206 | 05 |
Street Address |
235 PORT RICHMOND AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10302-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013905132 | Sandra Blandon | Nurse Practitioner | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2005-10-12 |
1023557832 | Kristina Miles | Pediatrics | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2017-02-14 |
1649655580 | Basma Elsawy | Internal Medicine | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2015-07-21 |
1467881268 | Cristina Insumran | Family Medicine | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2013-11-02 |
1124217591 | Rizalina N Trompeta-wong | Nurse Practitioner | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2007-10-22 |
1538356779 | Monique T. Welbeck | Nurse Practitioner | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2007-10-02 |
1205027943 | Theresa A Belfiore | Advanced Practice Midwife | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2007-08-07 |
1386860229 | Sonylma Ramos | Nutritionist | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2007-04-18 |
1023136413 | Jessie Bautista Pita | Pediatrics | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2007-03-26 |
1093874034 | Lillian Ibeth Diaz | Pediatrics | 235 Port Richmond Ave, Staten Island, NY 10302-1701 | 2006-12-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
Find all providers in zip 10302 |
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 |
---|---|---|---|---|
1700404720 | Medical Doctor Milena Kolesnikova PC | Internal Medicine | 586 Midland Ave Ste B, Staten Island, NY 10306-5903 | 2020-07-07 |
1962913459 | Vaithilingam Arulthasan Md PC | Internal Medicine | 57 Andes Pl, Staten Island, NY 10314-5524 | 2017-10-24 |
1306384839 | Nazar Sharak | Internal Medicine | 7 Father Capodanno Blvd, Staten Island, NY 10305-4801 | 2017-02-03 |
1326494485 | Syed Shahab Kazmi | Internal Medicine | 355 Bard Ave Dept of Medicine Villa Building, 1st Floor, Staten Island, NY 10310-1664 | 2016-05-09 |
1114380383 | Crown Neurology, P.C. | Internal Medicine | 1181 Woodrow Rd, Staten Island, NY 10309-1723 | 2016-04-04 |
1114386265 | Maryline Shang Nformi | Internal Medicine | 355 Bard Avenue, Dep't of Medicine Villa B'dg 1st Floor, Staten Island, NY 10310-1664 | 2016-02-17 |
1639557382 | Charles Sineri | Internal Medicine | 104 Nashville St, Staten Island, NY 10307-1325 | 2015-05-14 |
1669866158 | Ellis Enabosi | Internal Medicine | 455 Jersey St, Staten Island, NY 10301-2976 | 2015-03-24 |
1780086363 | Prr Diagnostic Medicine PC | Internal Medicine | 1265 Clove Rd, Staten Island, NY 10301-4339 | 2014-09-25 |
1689088403 | Ashraf Saad Dwal | Internal Medicine | 355 Bard Ave Dept Of, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2014-06-19 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10302 |
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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.