DR. PRATHYUSHA MADDELA (NPI# 1437174448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437174448 |
| Entity Type | Individual |
| Full Name | DR. PRATHYUSHA MADDELA |
| Credential | M.D. |
| Practice Address |
522 E 11th St Ste 200 Anniston AL 36207-4770 |
| Mailing Address |
522 E 11th St Suite 200 Anniston AL 36207-4770 |
| Practice Telephone | 2562375302 |
| Practice Fax Number | 2562375368 |
| Mailing Telephone | 2562375302 |
| Mailing Fax Number | 2562375368 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
26169 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 9937848 | 05 |
| Street Address |
522 E 11TH ST STE 200 |
| City | ANNISTON |
| State | AL |
| Zip Code | 36207-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785546 | Professional Edge Nursing, Inc | Military Health Care Provider | 600 Mary Lane, Anniston, AL 36207 | 2020-09-17 |
| 1285285064 | Savannah Taylor | Speech-Language Pathologist | 3331 Henry Road, Anniston, AL 36207 | 2019-09-24 |
| 1407359607 | Alabama Family Optometry One Hour Optical | Optometrist | 1900 Golden Springs Road, Anniston, AL 36207 | 2018-03-14 |
| 1598272593 | Elienna Unique Minnefield | Home Health Aide | 1400 Commerce Blvd., Suite 3, Anniston, AL 36207 | 2017-12-29 |
| 1508385154 | Tycoma Miller | Social Worker | 1332 Johnston Drive, Anniston, AL 36207 | 2017-09-14 |
| 1013439496 | Karri Anne Humphries | Behavioral Analyst | 217 Easy Street, Anniston, AL 36207 | 2017-07-07 |
| 1881136356 | Lance Mcconnell | Specialist/Technologist | 2111 Hwy78e Suite 2, Anniston, AL 36207 | 2016-11-15 |
| 1881053262 | Titilayo Adeoye-aremu | Pharmacist | 400 E 10th Street 4th Floor, Noland Health Services, Anniston, AL 36207 | 2016-02-15 |
| 1760840862 | Keyanna Peters | Counselor | 1525 Leighton Ave Ste B, Anniston, AL 36207 | 2016-02-03 |
| 1356517916 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 901 Keith Avenue, Anniston, AL 36207 | 2008-05-05 |
| Find all providers in zip 36207 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1053415695 | Venugopala S Bheemanathini | Internal Medicine | 522 E 11th St, Suite 200, Anniston, AL 36207-4770 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154742278 | James Askew | Internal Medicine | 7708 Mountbatten Rd Ne, Tuscaloosa, AL 35406-1146 | 2013-12-16 |
| 1548690571 | Sloan Kidney Services LLC | Internal Medicine | 104 Lowes Blvd, Rainbow City, AL 35906-3132 | 2013-11-12 |
| 1407192172 | Nephrology Medical Associates of Georgia, LLC | Internal Medicine | 3570 Grandview Pkwy Ste 2, Birmingham, AL 35243-2064 | 2012-12-27 |
| 1851649669 | Saad Mohammed Shariff | Internal Medicine | 1900 University Blvd, Tht 643, Birmingham, AL 35294 | 2012-08-28 |
| 1851690069 | Lifeline Vascular Birmingham, Inc | Internal Medicine | 201 London Pkwy, Suite 500, Birmingham, AL 35211-6304 | 2011-03-28 |
| 1750511432 | Uninibile O Odama | Internal Medicine | 210 North Street W, Suite D, Landmark Nephrology and Hypertension Clinic, Talladega, AL 35160 | 2009-07-16 |
| 1154587897 | Mamatha Gandhi | Internal Medicine | 3570 Grandview Pkwy Ste 101, Birmingham, AL 35243-2065 | 2008-08-01 |
| 1902078405 | Azita Takeshian Md PC | Internal Medicine | 100 Pilot Medical Dr Ste 275, Birmingham, AL 35235-3475 | 2008-03-25 |
| 1629264510 | Rameshkumar Athippalayam Chellamuthu | Internal Medicine | 1026 Goodyear Ave Ste 302b, Gadsden, AL 35903-1102 | 2007-09-24 |
| 1457564601 | Roman A Shingarev | Internal Medicine | 61919th St S, Birmingham, AL 35249-0001 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
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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.