DR. SHANTI NULU (NPI# 1699961938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699961938 |
| Entity Type | Individual |
| Full Name | DR. SHANTI NULU |
| Credential | MD |
| Practice Address |
301 Seton Pkwy Ste 302 Round Rock TX 78665-8003 |
| Mailing Address |
301 Seton Parkway Suite 302 Round Rock TX 78665 |
| Practice Telephone | (512) 324-4812 |
| Practice Fax Number | 5123244728 |
| Mailing Telephone | (512) 324-4812 |
| Mailing Fax Number | 5123244728 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Q6251 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 580601YL9X | 01 |
| TX | BCBS | 8GV735 | 01 |
| TX | MEDICARE | 580601YMGJ | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 506 Lenox Ave, New York, NY 100371802 | 2129392295 |
| Street Address |
301 SETON PKWY STE 302 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225057516 | Anuradha Rangarajan | Family Medicine | 301 Seton Pkwy Ste 302, Round Rock, TX 78665-8003 | 2006-07-18 |
| 1114577806 | Amanda Mcdonough | Registered Nurse | 301 Seton Pkwy Ste 302, Round Rock, TX 78665-8003 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| 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 |
|---|---|---|---|---|
| 1548403371 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 7215 Wyoming Springs Dr., Bldg. 1, Ste. 100, Round Rock, TX 78681-4311 | 2009-04-09 |
| 1770585234 | Courtney Lee Parr | Internal Medicine | 2410 Round Rock Avenue, Suite 170, Round Rock, TX 78681 | 2005-08-15 |
| 1629079017 | Jerry H Gilbert | Internal Medicine | 2410 Round Rock Ave, Ste. 110, Round Rock, TX 78681-4003 | 2005-08-09 |
| 1295730828 | Michael Fernando Lenis | Internal Medicine | 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | 2005-06-20 |
| 1851529713 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 301 Seton Parkway, Suite 302, Round Rock, TX 78665-8002 | 2009-06-30 |
| 1568615243 | Jacobo Vazquez | Internal Medicine | 302 University Blvd, Round Rock, TX 78665-1032 | 2008-10-28 |
| 1366695074 | Vijay Divakaran | Internal Medicine | 302 University Blvd, Round Rock, TX 78665-1032 | 2008-10-24 |
| 1386892719 | Texas Cardiovascular Consultants, Pa | Internal Medicine | 7215 Wyoming Springs, Bldg. 1, Ste. 100, Round Rock, TX 78681-4311 | 2008-08-27 |
| 1790986354 | Amy Butler Stancoven | Internal Medicine | 302 University Blvd, Round Rock, TX 78665-1032 | 2007-05-30 |
| 1437213105 | Heart and Vascular of Central Texas Pa | Internal Medicine | 16010 Park Valley Dr, Suite 200, Round Rock, TX 78681-3574 | 2006-12-20 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on DR. SHANTI NULU.
| 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.