DR. SHOBHA CHENNUBHOTLA


Address: 800 Zorn Ave, Louisville, KY 40206-1433
Phone: 5022874000

DR. SHOBHA CHENNUBHOTLA (NPI# 1750473872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750473872
Entity Type Individual
Full Name DR. SHOBHA CHENNUBHOTLA
Credential MD
Practice Address 800 Zorn Ave
Louisville
KY 40206-1433
Mailing Address 3702 Wynbrooke Cir
Louisville
KY 40241-3050
Practice Telephone 5022874000
Enumeration Date 2006-09-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
37384 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 800 ZORN AVE
City LOUISVILLE
State KY
Zip Code 40206-1433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609879162 Leah D Phillips-black Nurse Practitioner 800 Zorn Ave, Louisville, KY 40206-1433 2005-05-27
1477150464 Erika Alexandra Belloso Gonzalez Dietitian, Registered 800 Zorn Ave, Louisville, KY 40206-1433 2020-10-03
1871100180 Allana Boone Dietitian, Registered 800 Zorn Ave, Louisville, KY 40206-1433 2020-09-30
1245847458 Ellyn Schill Pharmacist 800 Zorn Ave, Louisville, KY 40206-1433 2020-09-30
1750996377 Shirley Ann Willis Recreation Therapist 800 Zorn Ave, Louisville, KY 40206-1433 2020-09-10
1902411523 Sarah Michelle Mizell Recreation Therapist 800 Zorn Ave, Louisville, KY 40206-1433 2020-09-10
1477171171 Kimberly Williams Clinic/Center 800 Zorn Ave, Louisville, KY 40206-1433 2020-07-08
1851918817 Jessica Christine Piercy Pharmacist 800 Zorn Ave, Louisville, KY 40206-1433 2020-06-25
1477179851 Kayla Janbakhsh Pharmacist 800 Zorn Ave, Louisville, KY 40206-1433 2020-06-22
1396369179 Sydney Elizabeth Sims Physician Assistant 800 Zorn Ave, Louisville, KY 40206-1433 2020-06-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285243477 Stephanie Atherton Nurse Practitioner 1623 Story Ave, Louisville, KY 40206 2020-07-24
1023547460 Jeffrey Obiora Student in an Organized Health Care Education/Training Program 500 South Preston St, Room 305, Lousiville, KY 40206 2017-06-08
1053840710 Mary Oliver Humke Lactation Consultant, Non-RN 155 N Galt Ave, Louisville, KY 40206 2017-06-07
1417304908 James Edward Meffert Sr. Dentist 1618 Story Ave. (home/office Setting), Louisville, KY 40206 2016-05-16
1235516527 Jara Nashelle Vega Velez Internal Medicine 800 Zorn Ave Dept Of, Louisville, KY 40206 2015-05-06
1184058885 Reba D Ziller Occupational Therapist 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 2013-08-29
1407109176 Jessica L Hoback Physical Therapy Assistant 2141 Sycamore Avenue, Louisville, KY 40206 2012-10-18
1598039315 Mary Barbara Sowers Emergency Medicine 611 Emery Rd, Louisville, KY 40206 2012-02-24
1053628479 Adrian J Pellegrini Md Nurse Practitioner 170 Crescent Ave, Louisville, KY 40206 2010-09-07
1518297761 Kiley Nontell Mcneill Behavioral Analyst 1100 East Market St., Louisville, KY 40206 2010-01-12
Find all providers in zip 40206

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083197388 Pmr Us Holdings, LLC Family Medicine 3939 7th Street Rd, Louisville, KY 40216-4103 2018-09-12
1508288572 University of Louisville Research Foundation Inc Family Medicine 401 E Chestnut St, Suite 170, Louisville, KY 40202-5700 2014-01-10
1497186639 University of Louisville Research Foundation Family Medicine 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1922 2013-12-12
1376974725 University of Louisville Research Foundation Family Medicine 530 S Jackson St, Louisville, KY 40202-1675 2013-12-11
1073879755 University of Louisville Physicians, Inc. Family Medicine 215 Central Ave, Suite 102, Louisville, KY 40208-1449 2012-04-06
1619003951 Laura Morton Family Medicine 215 Central Ave Ste 100, Louisville, KY 40208-1450 2007-02-23
1114064912 U of L Research Foundation Family Medicine 501 E Broadway, Ste 120, Louisville, KY 40202-1785 2007-01-31
1083771281 Bhagyalaxmi Rudravaram Family Medicine 550 S Jackson St, First Floor, Louisville, KY 40202-1622 2007-01-03
1679594329 Josephine P Gomes Family Medicine 1941 Bishop Ln Ste 900, Louisville, KY 40218 2006-07-21
1528086733 John C. Wright Family Medicine 701 S Hancock St, Louisville, KY 40203-2425 2006-07-17
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40206

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Dataset Information

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.

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