SUBBA RAO NAGUBADI


Address: 1101 Glendale Blvd, Ste 111, Valparaiso, IN 46383-3767
Phone: 2194641001

SUBBA RAO NAGUBADI (NPI# 1417957457) 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) 1417957457
Entity Type Individual
Full Name SUBBA RAO NAGUBADI
Credential MD
Practice Address 1101 Glendale Blvd
Ste 111
Valparaiso
IN 46383-3767
Mailing Address 2022 Kelle Dr
Chesterton
IN 46304-8708
Practice Telephone 2194641001
Practice Fax Number 2194657426
Mailing Telephone 2193643616
Mailing Fax Number 2193643610
Enumeration Date 2005-07-29
Last Update Date 2020-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 01032523A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100208510A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2855 Miller Dr Ste 117, Plymouth, IN 465638091 2194641001 2194657426
502 E Culver Rd Ste B, Knox, IN 465342003 2194641001 2194657426
521 E 13th St, Winamac, IN 469961144 2194641001 2194657426

Office Location

Street Address 1101 GLENDALE BLVD
STE 111
City VALPARAISO
State IN
Zip Code 46383-3767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720350846 Marika Elaine Zandstra Physical Therapist 1101 Glendale Blvd, Suite 11, Valparaiso, IN 46383-3767 2012-02-06
1689990871 Ambulatory Anesthesia of Northwest Indiana, LLC Anesthesiology 1101 Glendale Blvd, Suite 102, Valparaiso, IN 46383-3767 2010-04-13
1972829315 Centers for Pain Management LLC Pain Medicine 1101 Glendale Blvd, Valparaiso, IN 46383-3767 2010-04-09
1417284878 Kristina Lauren Scalzitti Nurse Practitioner 1101 Glendale Blvd, Ste. 110, Valparaiso, IN 46383-3767 2009-11-05
1831332766 Norma Ivone Ramey Internal Medicine 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767 2009-04-07
1457513285 Dynamic Rehabilitation Services PC Physical Therapist 1101 Glendale Blvd, Suite 11, Valparaiso, IN 46383-3767 2008-07-02
1528230133 Elizabeth Kristine Campbell Pediatrics 1101 Glendale Blvd, Ste. 101, Valparaiso, IN 46383-3767 2008-03-24
1639356025 James Praveen Anthony Internal Medicine 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767 2008-01-28
1871713578 The Kobak Center for Women's Health,inc. Specialist 1101 Glendale Blvd, Suite 108, Valparaiso, IN 46383-3767 2007-04-26
1083763635 Alfred J Kobak Obstetrics & Gynecology 1101 Glendale Blvd, Suite 108, Valparaiso, IN 46383-3767 2007-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962860 Andrea Abbett Pharmacist 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 2020-11-03
1144868043 Callan Gannon Jones Registered Nurse 83 E Us-6 Frontage Road, Valparaiso, IN 46383 2019-12-11
1972163806 Melissa E Valtierra Counselor 204 Valparaiso St, Valparaiso, IN 46383 2019-06-13
1003472721 Roman Podiatry Partners Inc Podiatrist 2308 N. Roosevelt, Valparaiso, IN 46383 2019-05-17
1831654680 Mark Esiyeden Driver 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 2019-02-06
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1285112334 Tricia Louise Burkins Nurse Practitioner 1861 South Sturdy Road, Valparaiso, IN 46383 2018-08-01
1598262388 Elizabeth R Kozak Physical Therapist 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 2018-04-09
1588160725 Innovative Counseling Solutions LLC Social Worker 8 Morgan Street, Valparaiso, IN 46383 2018-04-05
1275034860 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 405 Porters Vale Boulevard, Valparaiso, IN 46383 2018-02-28
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639370893 Genri Pinkhasov Urology 85 E Us Highway 6 Ste 230, Valparaiso, IN 46383-8948 2007-05-29
1548675424 Cristina M Fox Urology 85 E Us Highway 6 Ste 230, Valparaiso, IN 46383-8948 2014-06-30
1245667773 Community Care Network, Inc Urology 3800 Saint Mary Rd, Suite 205, Valparaiso, IN 46383-3986 2013-09-30
1265671127 John Christopher Lynam Urology 85 E Us Highway 6 Ste 230, Valparaiso, IN 46383-8948 2009-02-16
1235270067 Adam Eric Perlmutter Urology 809 Laporte Ave, Suite B, Valparaiso, IN 46383-5801 2007-02-12
1629127626 Dhindsa Urology, P.C. Urology 2102 Evans Ave, Suite 119, Valparaiso, IN 46383-4095 2007-01-09
1780750133 Urology Associates of Northwest Indiana PC Urology 1101 E Glendale Blvd, Ste 111, Valparaiso, IN 46383 2006-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336752799 Mark Alexander Assmus Urology 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 2020-08-26
1124653803 Catherine Baugher Urology 2525 W University Ave Ste 504, Muncie, IN 47303-3409 2020-03-03
1245881812 Carol Jean Stephens Urology 1000 N 16th St Ste 210, New Castle, IN 47362-4319 2019-09-25
1376960302 Mohammad Mahmoud Urology 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 2014-03-27
1114364064 Alexander J Tatem Urology 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 2013-06-03
1699015941 Frank Walerko Urology 809 Bittersweet Cove Drive, Mishawaka, IN 46544 2013-02-25
1861744997 Vincent Joseph Santare Urology 134 Carnoustie Ln, Schererville, IN 46375-2926 2012-10-13
1821353814 Little Company of Mary Hospital of Indiana Inc Urology 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 2012-07-06
1154681369 Joshua David Roth Urology 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 2012-05-22
1801152210 Richard James Holloway Urology 18799 Arapaho Ln, South Bend, IN 46637 2012-04-10
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Competitor

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City VALPARAISO
Zip Code 46383

Improve Information

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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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