SIVA MANDADI (NPI# 1538396858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538396858 |
Entity Type | Individual |
Full Name | SIVA MANDADI |
Credential | MD |
Practice Address |
701 W 5th St Odessa TX 79763-4206 |
Practice Telephone | 4323351700 |
Mailing Telephone | 4323351700 |
Enumeration Date | 2009-06-12 |
Last Update Date | 2009-06-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | BP1-0035519 | TX | Allopathic & Osteopathic Physicians |
Street Address |
701 W 5TH ST |
City | ODESSA |
State | TX |
Zip Code | 79763-4206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407845084 | Texas Tech University Health Sciences Center Odessa | Internal Medicine | 701 W 5th St, Odessa, TX 79763-4206 | 2005-10-17 |
1568075117 | Bibek Bakhati | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-08-24 |
1972112852 | Priya Darshini Velumani | Internal Medicine | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-28 |
1811505274 | Hina Tariq | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-21 |
1710595350 | Prince Richardson Lemuel Ernest | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-20 |
1952939951 | Goutami Mangu | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-03-27 |
1790337483 | Mandeep Kaur Sidhu | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-07-12 |
1174185292 | Andrey Mironenko | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-29 |
1043872120 | Govind Jha | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-28 |
1447811682 | Juan Guillermo Sierra David | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
Find all providers in zip 79763 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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 |
---|---|---|---|---|
1487262267 | Vedesh Kumar Babu | Internal Medicine | 701 W 5th St Ste 3106, Odessa, TX 79763-4206 | 2020-07-17 |
1396391058 | William S. Wood | Internal Medicine | 14051 Pointe Anne Dr, Odessa, FL 33556-4301 | 2019-08-16 |
1407416787 | Saima Mahmood | Internal Medicine | 701 W 5th St Ste No1229, Odessa, TX 79763-4206 | 2019-06-18 |
1548657661 | Gabriela Mroueh | Internal Medicine | 8050 E Highway 191 Ste 213, Odessa, TX 79765-8615 | 2015-04-16 |
1568600104 | Rudy Mayoz | Internal Medicine | 16206 Hoylake Dr, Odessa, FL 33556-2875 | 2009-02-03 |
1366625683 | Sreedevi Godey | Internal Medicine | 840 W Clements, Odessa, TX 79761 | 2007-12-10 |
1568656940 | Andrew L Rutherford | Internal Medicine | 16404 Swan View Cir, Odessa, FL 33556-4938 | 2007-08-29 |
1902009939 | Louise Nathalie De Boer | Internal Medicine | 4101 E 42nd St Ste J-14, Odessa, TX 79762-7239 | 2007-06-07 |
1386782266 | Joel L Adams | Internal Medicine | 500 N Washington Ave Ste 100, Odessa, TX 79761-4441 | 2007-02-02 |
1740369354 | Kendall H. Wong | Internal Medicine | 318 N Alleghaney, 300, Odessa, TX 79761 | 2006-11-03 |
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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.