RAJESH MALLELA (NPI# 1487622304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487622304 |
Entity Type | Individual |
Full Name | RAJESH MALLELA |
Credential | M.D. |
Practice Address |
208 Corwin Ln Kokomo IN 46902-6612 |
Mailing Address |
6626 E 75th St Suite 500 Indiana IN 46250-2890 |
Practice Telephone | 7658648700 |
Practice Fax Number | 7658648715 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2020-02-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01055567A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RR MEDICARE | P01824494 | 01 |
IN | 200388170 | 05 | |
IN | 200388170A | 05 |
Street Address |
208 CORWIN LN |
City | KOKOMO |
State | IN |
Zip Code | 46902-6612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376520999 | Anil K Ranginani | Internal Medicine | 208 Corwin Ln, Kokomo, IN 46902-6612 | 2005-12-23 |
1639723489 | Stella Taber | Registered Nurse | 208 Corwin Ln, Kokomo, IN 46902-6612 | 2019-07-30 |
1437629136 | Christopher James Capps | Nurse Practitioner | 208 Corwin Ln, Kokomo, IN 46902-6612 | 2018-11-26 |
1285141697 | Patricia Keegan | Nurse Practitioner | 208 Corwin Ln, Kokomo, IN 46902-6612 | 2018-01-08 |
1184894719 | Dorian Leenard Beasley | Internal Medicine | 208 Corwin Ln, Kokomo, IN 46902-6612 | 2008-03-11 |
1952466088 | Kokomo Neurological Group Inc | Psychiatry & Neurology | 208 Corwin Ln, Kokomo, IN 46902-6612 | 2006-12-27 |
1437169257 | Lori A Arnold | Nurse Practitioner | 208 Corwin Ln, Kokomo, IN 46902 | 2006-08-08 |
1457380800 | Ghaith M Nahlawi | Internal Medicine | 208 Corwin Ln, Kokomo, IN 46902-6612 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
Find all providers in zip 46902 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548233158 | Kingsley Annan | Internal Medicine | 1928 S Dixon Rd, Kokomo, IN 46902-7302 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710485594 | Optimal Health Network of Indiana LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2018-01-26 |
1205275948 | Benjamin Thomas Maatman | Internal Medicine | 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 | 2013-06-16 |
1730389586 | Akhtar Parvaiz Md | Internal Medicine | 1951 W 45th Ave, Griffith, IN 46319-3703 | 2007-07-20 |
1225058787 | William E Lehmkuhler, M.d. P.C. | Internal Medicine | 950 Memorial Dr, Jasper, IN 47546-2625 | 2006-07-20 |
1326073586 | Srinivasarao Manchikalapudi | Internal Medicine | 2109 Green Valley Rd, New Albany, IN 47150 | 2006-07-12 |
1194724377 | Eric F Schulte | Internal Medicine | 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 | 2005-07-19 |
1386283281 | Seyal Cardiology LLC | Internal Medicine | 1455 Cedar St Ste D, Clarksville, IN 47129-7700 | 2019-12-26 |
1710440839 | 1st Choice Cardiovascular Associates LLC | Internal Medicine | 701 Superior Ave Ste J, Munster, IN 46321-4038 | 2019-04-08 |
1972065415 | Cind Care of In II, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
1871094540 | Deaconess Specialty Physicians, Inc | Internal Medicine | 600 Mary St, Evansville, IN 47747-0001 | 2018-02-27 |
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.