VIJETHA VINOD MALLER (NPI# 1457751745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457751745 |
| Entity Type | Individual |
| Full Name | VIJETHA VINOD MALLER |
| Credential | M.D |
| Practice Address |
848 Adams Ave Memphis TN 38103-2816 |
| Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
| Practice Telephone | 9012877337 |
| Practice Fax Number | 9012876042 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
57894 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
848 ADAMS AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159126 | Barry G Gilmore | Emergency Medicine | 848 Adams Ave, Memphis, TN 38103-2816 | 2005-07-26 |
| 1942816350 | Emily Craven | Registered Nurse | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-21 |
| 1851905475 | Sherry Ivy | Clinical Nurse Specialist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-01 |
| 1841800398 | Sarah Phillips | Student in an Organized Health Care Education/Training Program | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-08-07 |
| 1922617240 | Megan Leigh Smith | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-07-23 |
| 1235753187 | Kelsey Aquadro Mace | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-06-05 |
| 1669094017 | Kelley Little | Physical Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-08 |
| 1669093571 | Amy Claire Petro | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-01 |
| 1285255299 | Heather Leann Clabo | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-30 |
| 1922629146 | Julie Cleary Dillon | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386115392 | Hiral Banker | Radiology | 865 Jefferson Ave, Memphis, TN 38103-2807 | 2018-12-17 |
| 1801070750 | Anna Kalathil Thomas | Radiology | 848 Adams Ave # G216, Memphis, TN 38103-2816 | 2007-12-27 |
| 1033143714 | Brian A Green | Radiology | 1661 International Place Drive, Suite 350, Memphis, TN 38120 | 2006-07-10 |
| 1760485858 | Robert A Kaufman | Radiology | 262 Danny Thomas Pl # Ms 515, 262 Danny Thomas Place, Memphis, TN 38105-3678 | 2005-05-23 |
| 1316226319 | Jignesh Navinchandra Shah | Radiology | 848 Adams Ave, Memphis, TN 38103-2816 | 2011-08-08 |
| 1144508854 | Preet Kiran Sandhu | Radiology | 848 Adams Ave, Radiology G216, Memphis, TN 38103-2816 | 2011-07-28 |
| 1295024941 | Cara Elizabeth Morin | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2011-04-04 |
| 1386957058 | Vijay S Pande | Radiology | 848 Adams Ave, Memphis, TN 38103-2816 | 2010-07-22 |
| 1558696591 | Stephen Franklin Miller | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2009-10-08 |
| 1467696880 | Anand Dorai Raju | Radiology | 51 N Dunlap St, Ste. G145, Memphis, TN 38105-4625 | 2009-04-29 |
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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.