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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 01032523A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100208510A | 05 |
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 |
Street Address |
1101 GLENDALE BLVD STE 111 |
City | VALPARAISO |
State | IN |
Zip Code | 46383-3767 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 46383 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | VALPARAISO |
Zip Code | 46383 |
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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.