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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD438915 | PA | Allopathic & Osteopathic Physicians |
Street Address |
1469 8TH AVE |
City | BETHLEHEM |
State | PA |
Zip Code | 18018-2256 |
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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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 Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
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. |
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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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.