PAVAN K THANGUDU (NPI# 1679898829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679898829 |
| Entity Type | Individual |
| Full Name | PAVAN K THANGUDU |
| Credential | M.D. |
| Practice Address |
4300 Londonderry Rd Harrisburg PA 17109-5317 |
| Mailing Address |
21 Spurs Ln Ste 230b San Antonio TX 78240-1671 |
| Practice Telephone | 7172318772 |
| Practice Fax Number | 7172318435 |
| Mailing Telephone | 2106907400 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2017-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD457573 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
R1661 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103118689 | 05 |
| Street Address |
4300 LONDONDERRY RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274598 | Stephanie Ann Kramer | Nurse Anesthetist, Certified Registered | 4300 Londonderry Rd, Harrisburg, PA 17109 | 2005-06-09 |
| 1538780515 | Kevin Matthew Nowakowski | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-05-01 |
| 1265053417 | James Farrell | Internal Medicine | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-29 |
| 1003436353 | Isaac Nivar | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-16 |
| 1841819588 | Christopher Ferguson | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-13 |
| 1679192579 | Inderpreet Singh | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-10 |
| 1902435373 | Timothy Warren | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-07 |
| 1902435340 | Cameron Park Slane | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-07 |
| 1295364974 | Kelly Marie Fening | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-05 |
| 1437788171 | Adrian Julian Lowenfeld | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1104889856 | Dana Sterling Kellis | Internal Medicine | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318291 | Advanced Pulmonary & Sleep Assoicates, P.C. | Internal Medicine | 795 E Marshall St Ste 304, West Chester, PA 19380-4400 | 2020-05-20 |
| 1689213043 | Danielle C Velazquez | Internal Medicine | 490 E North Ave Ste 303, Pittsburgh, PA 15212-4740 | 2020-01-03 |
| 1386295756 | St Clair Medical Services Inc | Internal Medicine | 1050 Bower Hill Rd Ste 306, Pittsburgh, PA 15243-1870 | 2019-09-26 |
| 1588180673 | Critical Care Medicine Services LLC | Internal Medicine | 1930 S Broad St Unit 12, Philadelphia, PA 19145-2328 | 2017-08-21 |
| 1285019497 | Lancaster Medical Group, LLC | Internal Medicine | 233 College Ave Ste 201, Lancaster, PA 17603-3384 | 2015-07-29 |
| 1073932265 | Nicholas Cheronis | Internal Medicine | 490 E North Ave Ste 305, Pittsburgh, PA 15212-4740 | 2014-04-15 |
| 1811316672 | Christopher Mcgrath | Internal Medicine | 834 Walnut St Ste 605, Philadelphia, PA 19107-5109 | 2014-04-09 |
| 1578811352 | Rihab S Sharara | Internal Medicine | 3459 Fifth Avenue, Nw628, University of Pittsburgh Physicians, Division of Pulmon, Pittsburgh, PA 15213 | 2012-08-27 |
| 1528323755 | Kartik Ramakrishna | Internal Medicine | 245 N 15th St # Ms 107, Philadelphia, PA 19102-1198 | 2012-07-13 |
| 1629341771 | Sushruta Duara Cerejo | Internal Medicine | 490 E North Ave Ste 309, Pittsburgh, PA 15212-4740 | 2012-02-21 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
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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.