PADMAJA D MAMILLAPALLI (NPI# 1619144060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619144060 |
| Entity Type | Individual |
| Full Name | PADMAJA D MAMILLAPALLI |
| Credential | MD |
| Practice Address |
130 S Bryn Mawr Ave Suite H-321 Bryn Mawr PA 19010 |
| Mailing Address |
130 S Bryn Mawr Ave Suite H-321 Bryn Mawr PA 19010-3121 |
| Practice Telephone | 4843374097 |
| Practice Fax Number | 6105264082 |
| Mailing Telephone | 4843374097 |
| Mailing Fax Number | 4843374082 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD434782 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
130 S BRYN MAWR AVE SUITE H-321 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589459 | William H Pfeffer | Obstetrics & Gynecology | 130 S Bryn Mawr Ave, Suite 1000 D Wing, Bryn Mawr, PA 19010-3121 | 2005-06-27 |
| 1013525740 | Elizabeth Ferber Lindvig | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 | 2020-07-20 |
| 1578171484 | Vincent Anthony Migliori | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-07-16 |
| 1013532282 | Daniel Kim | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1083239206 | Zachariah Taylor | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1124666953 | Julianne Keller Kwiatkowski | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-12-11 |
| 1457993974 | Lee A Petroski | Physical Therapist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-16 |
| 1013559871 | Amber Brooke Lallo | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-14 |
| 1023661352 | Stephanie Nicole Libes | Nurse Practitioner | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-07-16 |
| 1386205839 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| 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 |
|---|---|---|---|---|
| 1790064871 | Gerald Leigh Messerschmidt | Internal Medicine | 270 Curwen Rd, Bryn Mawr, PA 19010-1617 | 2011-08-08 |
| 1154600450 | Frederic Hershey Kauffman | Internal Medicine | 358 Strathmore Dr, Bryn Mawr, PA 19010-1260 | 2011-08-04 |
| 1093033557 | Lata Tadikonda Stavropoulos | Internal Medicine | 707 Sturbridge Dr, Bryn Mawr, PA 19010-2082 | 2010-05-08 |
| 1740504067 | Robert Wesley Chernoff | Internal Medicine | 1004 Broadmoor Rd, Bryn Mawr, PA 19010-1934 | 2010-03-15 |
| 1093954224 | Emre Beken | Internal Medicine | 910 Academy Ln, Bryn Mawr, PA 19010-2220 | 2009-02-11 |
| 1285871780 | Leroy T Gerson | Internal Medicine | 611 Foxfields Rd, Bryn Mawr, PA 19010-2056 | 2009-01-21 |
| 1063536902 | Amy Davis | Internal Medicine | 16 N Bryn Mawr Ave #386, Bryn Mawr, PA 19010-0347 | 2007-03-17 |
| 1497881478 | Andrew Wheeler Fisher | Internal Medicine | 447 Great Springs Rd, Bryn Mawr, PA 19010-1715 | 2007-02-26 |
| 1386782217 | Alan Gary Adler | Internal Medicine | 706 Polo Cir, Bryn Mawr, PA 19010-3840 | 2007-02-02 |
| 1639138829 | Michael J Larock | Internal Medicine | 130 S Bryn Mawr Ave Ste H321, Bryn Mawr, PA 19010 | 2006-03-17 |
| Find all providers in BRYN MAWR | ||||
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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.