PRADEEP REDDY KUMBHAM


Address: 2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712-3214
Phone: 4797578099

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
E-11390 AR Allopathic & Osteopathic Physicians

Office Location

Street Address 2900 MEDICAL CENTER PKWY STE 310
City BENTONVILLE
State AR
Zip Code 72712-3214

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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
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BENTONVILLE
Zip Code 72712

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Dataset Information

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.

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