DR. MADHUSUDAN BORDE (NPI# 1437210754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437210754 |
| Entity Type | Individual |
| Full Name | DR. MADHUSUDAN BORDE |
| Credential | MD |
| Practice Address |
1460 N Camino Alto Ste 111 Vallejo CA 94589-2567 |
| Practice Telephone | 7075573200 |
| Practice Fax Number | 7075573201 |
| Mailing Telephone | 7075573200 |
| Mailing Fax Number | 7075573201 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A35179 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A351790 | 05 |
| Street Address |
1460 N CAMINO ALTO STE 111 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063696581 | Madhusudan Borde M.d. Inc. | Internal Medicine | 1460 N Camino Alto Ste 111, Vallejo, CA 94589-2567 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| 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 |
|---|---|---|---|---|
| 1245243716 | Dineshkumar Thakur | Internal Medicine | 1460 N. Camino Alto, Ste 201, Vallejo, CA 94591-2567 | 2006-08-14 |
| 1346613445 | John Muir Physician Network | Internal Medicine | 1460 N Camino Alto, #201, Vallejo, CA 94589-2567 | 2015-11-11 |
| 1811336258 | Adventist Health Physicians Network | Internal Medicine | 1460 N Camino Alto, Suite 111, Vallejo, CA 94589-2567 | 2013-06-19 |
| 1922233394 | Mahyar Khaleghi | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2009-05-28 |
| 1063696581 | Madhusudan Borde M.d. Inc. | Internal Medicine | 1460 N Camino Alto Ste 111, Vallejo, CA 94589-2567 | 2007-12-19 |
| 1205972296 | Laybon Jones Jr. | Internal Medicine | 96 Springstowne Ctr, Suite B, Vallejo, CA 94591-5599 | 2007-01-29 |
| 1871672907 | Kevin Daniel Bobrowsky | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-02 |
| 1265510762 | Richard Birnbaum | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1922186816 | David B. Williams | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1205914033 | Peter M. Sherris | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| Find all providers in VALLEJO | ||||
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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.