CHANDRA KANTH KATIKIREDDY (NPI# 1649318023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649318023 |
| Entity Type | Individual |
| Full Name | CHANDRA KANTH KATIKIREDDY |
| Credential | M.D. |
| Practice Address |
2210 E Illinois Ave Suite 508 Fresno CA 93701-2125 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5593200545 |
| Practice Fax Number | 5593200550 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A82981 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A82981 | CA | Allopathic & Osteopathic Physicians |
| N | 207RM1200X |
Internal Medicine Specialization: Magnetic Resonance Imaging (MRI) |
A82981 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A82981 | CA | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
A82981 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2210 E ILLINOIS AVE SUITE 508 |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649270653 | Douglas Alan Helm | Obstetrics & Gynecology | 2210 E Illinois Ave, Suite 308, Fresno, CA 93701-2184 | 2005-08-01 |
| 1649610569 | Victoria Van Essen | Nurse Practitioner | 2210 E Illinois Ave, #406, Fresno, CA 93701-2125 | 2013-06-25 |
| 1598009961 | Dawnette Kopfman | Nurse Practitioner | 2210 E Illinois Ave, Ste #406, Fresno, CA 93701-2125 | 2012-11-24 |
| 1932482577 | Saeed Med Inc | Internal Medicine | 2210 E Illinois Ave, #505, Fresno, CA 93701-2125 | 2011-09-20 |
| 1316241847 | Diana Nguyen | Obstetrics & Gynecology | 2210 E Illinois Ave, Suite 406, Fresno, CA 93701-2125 | 2010-12-23 |
| 1780829119 | Christine Akemi Obata | Psychiatry & Neurology | 2210 E Illinois Ave, 401, Fresno, CA 93701-2125 | 2008-12-15 |
| 1952552531 | Anne Michelle Bomar | Nurse Practitioner | 2210 E Illinois Ave, Suite 206, Fresno, CA 93701-2125 | 2008-10-01 |
| 1265563241 | Sarkis B Baghdasarian | Internal Medicine | 2210 E Illinois Ave, Suite 508, Fresno, CA 93701-2125 | 2007-03-08 |
| 1932236056 | Carmen Rochelle Simpson | Physician Assistant | 2210 E Illinois Ave, Suite 406, Fresno, CA 93701-2125 | 2007-02-27 |
| 1093852659 | Prem D. Singh, M.d. & Assoc | Pediatrics | 2210 E Illinois Ave, Suite 206, Fresno, CA 93701-2125 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730558305 | Advanced Specialty Care | Internal Medicine | 1681 E. Banwell Lane, Fresno, CA 93730 | 2015-09-24 |
| 1497191738 | Duong Le | Internal Medicine | 2335 E Kashian Ln Ste 460, Fresno, CA 93701-2230 | 2013-05-14 |
| 1295807089 | Chann & Chann Md Professional Corp | Internal Medicine | 6089 N 1st, St 102, Fresno, CA 93710 | 2006-11-15 |
| 1255341814 | Cardiac Institute of Central California A Medical Corporation | Internal Medicine | 30 River Park Place W, 440, Fresno, CA 93720 | 2006-08-08 |
| 1962429753 | Harcharn S Chann | Internal Medicine | 6089 N First, #102, Fresno, CA 93710-5444 | 2006-07-16 |
| 1588603369 | Sanjay S Srivatsa | Internal Medicine | 7206 N Milburn Ave, Ste 105, Fresno, CA 93722-8450 | 2006-06-06 |
| 1396714937 | Michael L Krueger | Internal Medicine | 7033 N Fresno St, Ste 301, Fresno, CA 93720 | 2006-03-16 |
| 1508835463 | Rohit Sundrani | Internal Medicine | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2006-03-14 |
| 1629048012 | Khoi Manh Le | Internal Medicine | 6323 N Fresno St, Fresno, CA 93710-5282 | 2006-01-26 |
| Find all providers in FRESNO | ||||
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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.