RAVI KIRAN MALLAVARAPU (NPI# 1619157310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619157310 |
| Entity Type | Individual |
| Full Name | RAVI KIRAN MALLAVARAPU |
| Credential | MD |
| Practice Address |
135 Crowne Chase Dr Apt 5 Winston Salem NC 27104-3580 |
| Practice Telephone | 7068883095 |
| Mailing Telephone | 7068883095 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2013-02240 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Park Hill Dr, Fredericksburg, VA 224013357 | 5403713010 |
| Street Address |
135 CROWNE CHASE DR APT 5 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1457452583 | Hugo A Tettamanti Md Pa | Internal Medicine | 2928 Maplewood Ave, Winston Salem, NC 27103-4021 | 2006-09-25 |
| 1275580854 | W. Scott Moore Et Al Ptr | Internal Medicine | 730 Highland Oaks Drive, Suite 201, Winston Salem, NC 27103-7108 | 2006-05-28 |
| 1144279001 | Dialysis Access Group of Wake Forest University, LLC | Internal Medicine | 120 Miller Street, Winston Salem, NC 27103-2500 | 2006-05-09 |
| 1962487397 | Scott Gregory Satko | Internal Medicine | 730 Highland Oaks Dr Ste 201, Winston Salem, NC 27103-7108 | 2005-12-08 |
| 1376040030 | Riti Rajendra Shah | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1578944013 | Andrew Henican Spangler | Internal Medicine | 730 Highland Oaks Dr Ste 201, Winston Salem, NC 27103-7108 | 2015-06-10 |
| 1851787840 | Brooke L Crossley | Internal Medicine | 730 Highland Oaks Dr Ste 201, Winston Salem, NC 27103-7108 | 2015-04-07 |
| 1588077408 | Natalia Sakhovskaya | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157 | 2014-06-09 |
| 1447676614 | Murtaza Ali Naqvi | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-4044 | 2014-03-12 |
| 1205193331 | Nicholas Oliver Mclean | Internal Medicine | 730 Highland Oaks Dr, Winston Salem, NC 27103-7154 | 2012-04-13 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.