DR. SOBHAN KODALI


Address: 1469 8th Ave, Bethlehem, PA 18018-2256
Phone: 6104197800

DR. SOBHAN KODALI (NPI# 1396047700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396047700
Entity Type Individual
Full Name DR. SOBHAN KODALI
Credential M.D.
Practice Address 1469 8th Ave
Bethlehem
PA 18018-2256
Practice Telephone 6104197800
Practice Fax Number 6104197810
Mailing Telephone 6104197800
Mailing Fax Number 6104197810
Enumeration Date 2010-11-18
Last Update Date 2014-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD438915 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1469 8TH AVE
City BETHLEHEM
State PA
Zip Code 18018-2256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295707628 Luis A Tejada Internal Medicine 1469 8th Ave, Bethlehem, PA 18018-2256 2006-02-01
1548731144 Meredith Alyse Johnson Physician Assistant 1469 8th Ave, Bethlehem, PA 18018-2256 2018-12-08
1811465016 Amber Soden Physician Assistant 1469 8th Ave, Bethlehem, PA 18018-2256 2018-11-06
1578073144 Jonathan G Tabuzo Physician Assistant 1469 8th Ave, Bethlehem, PA 18018-2256 2017-10-09
1811407927 James Ross Hosford Internal Medicine 1469 8th Ave, Bethlehem, PA 18018-2256 2017-10-03
1316316243 Sarah Luther Nurse Practitioner 1469 8th Ave, Bethlehem, PA 18018-2256 2015-09-22
1184091951 Ryan Friend Physician Assistant 1469 8th Ave, Bethlehem, PA 18018-2256 2015-08-27
1336542976 Kallyn B Smith Nurse Practitioner 1469 8th Ave, Bethlehem, PA 18018-2256 2014-09-26
1831590678 Munazza Khan Physician Assistant 1469 8th Ave, Bethlehem, PA 18018-2256 2014-09-11
1437581006 Bhavin Jitendra Dumaswala Internal Medicine 1469 8th Ave, Bethlehem, PA 18018-2256 2013-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093373292 Jade Madison Hennessy Specialist/Technologist Moravian College, 1200 Main Street, Bethlehem, PA 18018 2019-06-03
1780106179 Courtney Jane Kruscavage Specialist/Technologist 641 Dellwood Street, Bethlehem, PA 18018 2017-07-07
1205357936 Balanced Body Therapeutic Massage, LLC Massage Therapist 227 W Broad St Ste 102, Bethlehem, PA 18018 2017-07-03
1033567599 Jessamine Martin Counselor 1 East Broad Street, Suite 510, Bethlehem, PA 18018 2016-05-25
1841650041 Akhi Saha Internal Medicine 325 W Broad St Fl 1, Bethlehem, PA 18018 2016-03-01
1063804193 Paul Minh Le Internal Medicine 800 Eaton Ave Ste B, Bethlehem, PA 18018 2015-02-26
1578962841 Elizabeth Veronica Weiss Iobst Counselor 1754 W. Broad St., Bethlehem, PA 18018 2014-08-22
1255771739 Inner Resources Counseling Inc Counselor 807 West Broad St, Bethlehem, PA 18018 2013-06-28
1437404878 St Luke Hospital General Acute Care Hospital 1956 C Allwood Dr., Bethlehem, PA 18018 2012-07-23
1275802944 St. Luke's Physician Group, Inc Ophthalmology 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 2011-12-23
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073919627 Srinidhi Jayadevappa Meera Internal Medicine 801 Ostrum St Ste 2, Bethlehem, PA 18015 2014-11-10
1518032754 Michele L Mair Internal Medicine 701 Ostrum St Suite 502, Valley Cardiology Associates, Bethlehem, PA 18015 2006-11-22
1295707628 Luis A Tejada Internal Medicine 1469 8th Ave, Bethlehem, PA 18018-2256 2006-02-01
1467082297 Lvhn Coordinated Professional Practice Internal Medicine 3100 Emrick Blvd, Bethlehem, PA 18020-8061 2020-01-21
1164967675 Compcare PC Internal Medicine 4379 Easton Ave, Suite 101, Bethlehem, PA 18020-1483 2016-12-20
1437581006 Bhavin Jitendra Dumaswala Internal Medicine 1469 8th Ave, Bethlehem, PA 18018-2256 2013-08-06
1336423565 Lehigh Valley Physician Group Internal Medicine 2649 Schoenersville Rd, Suite 301, Bethlehem, PA 18017-7326 2011-10-06
1922305952 Mary Donna Mananghaya Cruz Internal Medicine 1469 8th Ave, Bethlehem, PA 18018-2256 2011-02-28
1831328871 Rujul Patel Internal Medicine 1469 8th Ave, Bethlehem, PA 18018-2256 2009-07-13
1275769846 James Hansen Internal Medicine 1469 8th Ave, Bethlehem, PA 18018 2009-06-09
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Competitor

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City BETHLEHEM
Zip Code 18018

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Dataset Information

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.

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