RAJA RAM POLUDASU (NPI# 1578682464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578682464 |
| Entity Type | Individual |
| Full Name | RAJA RAM POLUDASU |
| Credential | M.D. |
| Practice Address |
622 W 168th St New York NY 10032-3720 |
| Mailing Address |
622 W 168th St # 28 New York NY 10032-3720 |
| Practice Telephone | 2123059335 |
| Practice Fax Number | 2123058636 |
| Mailing Telephone | 2123051948 |
| Mailing Fax Number | 2123055777 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
P53187 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
622 W 168TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608493 | Eastside Orthotics and Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 622 W 168th St, Vc333, New York, NY 10032 | 2005-06-13 |
| 1790386399 | Carl Elliston | Radiology | 622 W 168th St, Department of Radiation Oncology, New York, NY 10032 | 2020-11-02 |
| 1275140758 | Alyssa Hope Diaz | Nurse Practitioner | 622 W 168th St, New York, NY 10032-3720 | 2020-09-28 |
| 1295341873 | Ann Mchugh | Obstetrics & Gynecology | 622 W 168th St, New York, NY 10032-3720 | 2020-09-19 |
| 1821604778 | Kellie Kolessar | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-09-16 |
| 1912525833 | Fanny Ok | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-07-07 |
| 1982221644 | Ashley D Gandhi | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-06-29 |
| 1891311080 | Demond Harrison | Respiratory Therapist, Registered | 622 W 168th St, New York, NY 10032-3720 | 2020-06-23 |
| 1073136115 | Dennis Man | Pharmacist | 622 W 168th St, New York, NY 10032-3720 | 2020-05-23 |
| 1205457801 | Adam Sands | Student in an Organized Health Care Education/Training Program | 622 W 168th St, New York, NY 10032-3720 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053674671 | Silvina Paola Dutruel | Nuclear Medicine | 525 E 68th St Fl 2, New York, NY 10065-4870 | 2012-06-19 |
| 1902856784 | Eric J Leichter | Nuclear Medicine | 420 E 58th St, Apt.23a, New York, NY 10022-2345 | 2006-05-11 |
| 1235780073 | Ahmet Turan Ilica | Nuclear Medicine | 1275 York Ave, New York, NY 10065-6007 | 2019-09-23 |
| 1174975965 | Lisa Bodei | Nuclear Medicine | 1275 York Ave, New York, NY 10065-6007 | 2016-07-06 |
| 1598164113 | Jin Ah Kim | Nuclear Medicine | 100 E 77th St, New York, NY 10075-1850 | 2014-08-19 |
| 1306283155 | Somali Gavane | Nuclear Medicine | 1 Gustave L Levy Pl, Box 1141, New York, NY 10029-6504 | 2013-06-03 |
| 1104056589 | Livnat Uliel | Nuclear Medicine | 1 Gustave L Levy Pl, Box 1141, New York, NY 10029-6504 | 2009-07-20 |
| 1972549525 | Wolfgang Weber | Nuclear Medicine | 1275 York Ave, Mskcc Molecular Imaging and Therapy Service, New York, NY 10065-6007 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760906143 | Ebenezer Vander Pallen | Nuclear Medicine | 1366 Victory Blvd # B, Staten Island, NY 10301-3907 | 2017-07-27 |
| 1588104079 | Simkeon Andrew Kang | Nuclear Medicine | 7 Pateman Cir, Menands, NY 12204-1338 | 2017-03-02 |
| 1932593746 | Ghulam Mustafa | Nuclear Medicine | Buffalo General Medical Center. 100 High St, Department of Nuclear Medicine, Buffalo, NY 14203-1126 | 2015-03-19 |
| 1912135997 | Sanjit O Tewari | Nuclear Medicine | 9 Friendly Rd, Hicksville, NY 11801-6311 | 2009-06-29 |
| 1548440837 | Sleiman Naddaf | Nuclear Medicine | 565 80th St Apt 3r, Brooklyn, NY 11209-4027 | 2007-11-05 |
| 1548341696 | Xiaojin Lin | Nuclear Medicine | James J. Peters V.a. Medical Ctr, 130 West Kingsbridge Rd, Bronx, NY 10468 | 2006-10-17 |
| 1003902982 | Carlos Javier Homs | Nuclear Medicine | Woodhull Medical and Mental Health Ctr., 760 Broadway, Brooklyn, NY 11206 | 2006-10-05 |
| 1538152517 | Rudolph M Sada, Md | Nuclear Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2005-08-25 |
| 1972973600 | North Shore Long Island Jewish Healthcare Inc. | Nuclear Medicine | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2015-10-07 |
| 1275814618 | Jonathan J Khodadadian | Nuclear Medicine | 150 E Sunrise Hwy, 208, Lindenhurst, NY 11757-2539 | 2011-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RAJA RAM POLUDASU.
| 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.