SHREYA MOODLEY (NPI# 1518308881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518308881 |
| Entity Type | Individual |
| Full Name | SHREYA MOODLEY |
| Credential | M.D. |
| Practice Address |
750 Welch Rd Suite 325, Mc: 5731 Palo Alto CA 94304-1507 |
| Practice Telephone | 6507237914 |
| Practice Fax Number | 6507258343 |
| Mailing Telephone | 6507237914 |
| Mailing Fax Number | 6507258343 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A126373 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENSE | A126373 | 01 |
| Street Address |
750 WELCH RD SUITE 325, MC: 5731 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558352054 | Debra G. Hanisch | Nurse Practitioner | 750 Welch Rd, #305, Palo Alto, CA 94304-1507 | 2005-11-02 |
| 1497381974 | Kathryn Jayne Rappolt | Dietitian, Registered | 750 Welch Rd, Suite 214, Mail Code: 5891, Palo Alto, CA 94304 | 2020-03-17 |
| 1801357900 | Jennifer Jacobsen | Student in an Organized Health Care Education/Training Program | 750 Welch Rd, Palo Alto, CA 94304-1507 | 2019-03-29 |
| 1346712494 | Lisa Williams | Dietitian, Registered | 750 Welch Rd, Palo Alto, CA 94304-1507 | 2018-12-28 |
| 1285172650 | Catherine Hallet | Dietitian, Registered | 750 Welch Rd, Suite 214, Palo Alto, CA 94304-1507 | 2017-02-06 |
| 1366993867 | Jeffrey Hung-yip Lee | Dentist | 750 Welch Rd, Suite #102, Palo Alto, CA 94304-1507 | 2016-10-19 |
| 1043676778 | Kristine Laguit | Clinical Nurse Specialist | 750 Welch Rd, Suite116, Palo Alto, CA 94304-1507 | 2016-01-11 |
| 1063878296 | Lisa Malia Demeyere | Nurse Practitioner | 750 Welch Rd, Suite 210, Palo Alto, CA 94304-1507 | 2016-01-04 |
| 1891131611 | Rachel Mariko Ruiz | Pediatrics | 750 Welch Rd, Suite 116, Palo Alto, CA 94304-1507 | 2013-05-20 |
| 1245597186 | Zachary Michael Sellers | Pediatrics | 750 Welch Rd, Suite 116, Palo Alto, CA 94304 | 2012-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1679729289 | Lynn Fu Peng | Pediatrics | 750 Welch Rd Ste 305, Pediatric Cardiology, Palo Alto, CA 94304-1510 | 2008-08-14 |
| 1114193133 | Rachel K Hopper | Pediatrics | 725 Welch Rd Ste 181, Palo Alto, CA 94304-1601 | 2008-04-30 |
| 1487270120 | Koyelle Papneja | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-18 |
| 1922662683 | Katie Noelle Dye | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2019-04-29 |
| 1538672332 | Shawna Rose Collins | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2017-11-15 |
| 1619498870 | Nassiba Alami Laroussi | Pediatrics | 750 Welch Rd Ste 325, Palo Alto, CA 94304-1510 | 2017-06-28 |
| 1093102279 | Christine Mai-anh Bui | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2015-04-24 |
| 1497141360 | Ezinne Ngwamma Emeruwa | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304 | 2015-04-08 |
| 1265821011 | Brian Han | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2015-01-16 |
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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.