PRADEEP REDDY KUMBHAM (NPI# 1588079560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588079560 |
Entity Type | Individual |
Full Name | PRADEEP REDDY KUMBHAM |
Credential | MD |
Practice Address |
2900 Medical Center Pkwy Ste 310 Bentonville AR 72712-3214 |
Practice Telephone | 4797578099 |
Mailing Telephone | 4795533310 |
Mailing Fax Number | 4795531947 |
Enumeration Date | 2014-06-27 |
Last Update Date | 2020-09-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
E-11390 | AR | Allopathic & Osteopathic Physicians |
Street Address |
2900 MEDICAL CENTER PKWY STE 310 |
City | BENTONVILLE |
State | AR |
Zip Code | 72712-3214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
Find all providers in zip 72712 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548273394 | Ahmad Al-khatib | Psychiatry & Neurology | 811 Se 28th St Ste 5, Bentonville, AR 72712-4294 | 2006-08-14 |
1659651552 | Chaitanya Goud Bonda | Psychiatry & Neurology | 2900 Medical Center Pkwy, Ste 310, Bentonville, AR 72712-3204 | 2011-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
1588143259 | Baptist Health Services | Psychiatry & Neurology | 1500 Dodson Ave Ste 290, Fort Smith, AR 72901 | 2018-08-13 |
1346769767 | Arkansas Health Group | Psychiatry & Neurology | 625 United Dr Ste 370b, Conway, AR 72032-7826 | 2017-09-18 |
1588016471 | William Denson | Psychiatry & Neurology | 8 Rebanar Ln, Hot Springs Village, AR 71909-3700 | 2016-07-05 |
1982082970 | Ernest Escarza Serrano | Psychiatry & Neurology | 3405 Ramsgate Way, Fort Smith, AR 72908-9359 | 2015-05-11 |
1942602156 | Baxter County Regional Hospital, Inc | Psychiatry & Neurology | 624 Hospital Dr Ste 2b, Mountain Home, AR 72653-2955 | 2014-09-18 |
1104260819 | Rebecca Lee Jones | Psychiatry & Neurology | 8201 Cantrell Rd Ste 265, Little Rock, AR 72227-2347 | 2013-04-24 |
1811242639 | Mhd Ezzat Zaghlouleh | Psychiatry & Neurology | 501 Jack Stephens Dr Fl 8, Little Rock, AR 72205 | 2012-07-18 |
1033476726 | Jay P Hinkle | Psychiatry & Neurology | 3336 N. Futrall, Fayetteville, AR 72703 | 2012-04-18 |
1639467442 | Gordon L. Gibson, M. D., P. A. | Psychiatry & Neurology | 106 Ridgeway, Suites A & B, Hot Springs, AR 71901-7157 | 2011-07-13 |
Find all providers with the same taxonomy |
City | BENTONVILLE |
Zip Code | 72712 |
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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.