GAUTHAM K MALLAMPATI (NPI# 1639159577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639159577 |
| Entity Type | Individual |
| Full Name | GAUTHAM K MALLAMPATI |
| Credential | MD |
| Practice Address |
95 Highland Ave Suite 130 Bethlehem PA 18017-9424 |
| Practice Telephone | 6108681100 |
| Practice Fax Number | 6108681111 |
| Mailing Telephone | 6108681100 |
| Mailing Fax Number | 6108681111 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2015-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
241788 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD421847 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
056193 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 655000446 | 05 |
| Street Address |
95 HIGHLAND AVE SUITE 130 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017-9424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817917 | Beth L Valderrama | Physician Assistant | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2005-08-02 |
| 1669995775 | Christopher Lynn Edwards | Speech-Language Pathologist | 95 Highland Ave, Bethlehem, PA 18017-9424 | 2017-07-20 |
| 1225499593 | Sheri Melady | Physical Therapist | 95 Highland Ave, Suite 170, Bethlehem, PA 18017-9424 | 2016-03-15 |
| 1639563752 | Lauren Coll | Physician Assistant | 95 Highland Ave, #130, Bethlehem, PA 18017-9424 | 2015-03-26 |
| 1912331968 | Melinda B Mclane | Nurse Practitioner | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2013-08-27 |
| 1528385606 | Lynne M Doctor | Surgery | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2010-04-28 |
| 1659606325 | Bradley L Kocher | Radiology | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2009-10-13 |
| 1528296415 | Abin Bandyopadhyay | Radiology | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2009-06-30 |
| 1457587909 | Yeamie Marie Sheref Kousari | Radiology | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2009-06-10 |
| 1598900177 | Sharvil U Sheth | Surgery | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2008-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285859744 | Richard P Kennedy | Radiology | 1771 Deer Run Rd, Bethlehem, PA 18015-5002 | 2007-04-17 |
| 1699702258 | Edgar Tzu-ping Cheng | Radiology | 95 Highland Ave 130, Bethlehem, PA 18017-9483 | 2006-06-27 |
| 1871520924 | Jean Alexandra Kelly | Radiology | 564 Bierys Bridge Rd, Bethlehem, PA 18017-1144 | 2006-06-26 |
| 1679528921 | Joseph Patrick Russo | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 | 2006-05-24 |
| 1295790814 | Lpc Radiologists | Radiology | 2450 Brodhead Rd, Bethlehem, PA 18020-8900 | 2006-04-18 |
| 1225457872 | Yayone Lucia Rivaud | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2014-04-10 |
| 1801139522 | Shrita Marie Smith | Radiology | 2775 Schoenersville Rd, Bethlehem, PA 18017 | 2013-04-01 |
| 1710229968 | Michael Paul Yannes | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2013-03-25 |
| 1205173887 | Bassam Al-mamoori | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2013-01-15 |
| 1932461654 | Melkamu Dessie Adeb | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017 | 2012-06-08 |
| Find all providers in BETHLEHEM | ||||
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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.