PURNA L CHADALAWADA (NPI# 1770532624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770532624 |
| Entity Type | Individual |
| Full Name | PURNA L CHADALAWADA |
| Other Name | PURNA LAKSHMIBASAVA CHADALAWADA |
| Credential | MD |
| Practice Address |
808 Commerce Blvd Ste A Riverdale GA 30296 |
| Practice Telephone | 7709969191 |
| Practice Fax Number | 7709965298 |
| Mailing Telephone | 7709969191 |
| Mailing Fax Number | 7709965298 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 047412 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00893285A | 05 |
| Street Address |
808 COMMERCE BLVD STE A |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593222 | Optima Physical Therapy Inc | Physical Therapist | 808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 | 2006-01-23 |
| 1255888525 | Drawanert Associates | Social Worker | 808 Commerce Blvd, Ste C2, Riverdale, GA 30296-7192 | 2016-09-05 |
| 1821458126 | Sadaqa Ward | Social Worker | 808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 | 2016-02-29 |
| 1063896009 | Olive Home Care Services, Inc | Community/Behavioral Health | 808 Commerce Blvd, E, Riverdale, GA 30296-7192 | 2015-07-18 |
| 1457647158 | Joana Isabel Benayoun | Pediatrics | 808 Commerce Blvd, Suite A, Riverdale, GA 30296-7192 | 2011-06-22 |
| 1548492606 | Ganiyu Abiola Bello | Physical Therapist | 808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 | 2009-08-21 |
| 1174757710 | Olive Home Care Services Inc | Home Health | 808 Commerce Blvd, Suite E, Riverdale, GA 30296-7192 | 2009-05-11 |
| 1225298417 | Manjit Singh | Pediatrics | 808 Commerce Blvd, Suite A, Riverdale, GA 30296-7192 | 2008-06-11 |
| 1124292826 | Angela Patrice Jackson | Pediatrics | 808 Commerce Blvd, Suite A, Riverdale, GA 30296-7192 | 2008-04-15 |
| 1285859413 | Tri-county Pediatrics | Pediatrics | 808 Commerce Blvd, Suite A, Riverdale, GA 30296-7192 | 2007-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821265646 | Sikira Chantal Backus | Pediatrics | 6103 Baltimore Ave Ste T1, Riverdale, MD 20737-1966 | 2008-05-12 |
| 1922140946 | Sonea Qureshi | Pediatrics | 3567 W. Mt. Whitney Ave., Riverdale, CA 93656 | 2007-02-13 |
| 1578664827 | Sook Hee Ahn | Pediatrics | 251 Medical Way, Suite A, Riverdale, GA 30274-2522 | 2006-09-26 |
| 1821193046 | Adrene Sellers-scott | Pediatrics | 150 Medical Way Ste B1, Riverdale, GA 30274-2533 | 2006-09-13 |
| 1780618637 | Subramanyam P Reddy | Pediatrics | 253 Upper Riverdale Rd, Ste A, Riverdale, GA 30274 | 2006-07-10 |
| 1801859830 | Kimberly J Winzer Md PC | Pediatrics | 6524 Professional Pl, Riverdale, GA 30274-2520 | 2006-04-10 |
| 1174043236 | Misha Capri Purnell | Pediatrics | 6103 Baltimore Ave Ste T1, Riverdale, MD 20737-1966 | 2017-06-21 |
| 1407217243 | Herberth Marcelo Ochoa Flores | Pediatrics | 6103 Baltimore Ave Ste T1, Riverdale, MD 20737-1966 | 2016-03-07 |
| 1013386846 | Riverdale Park Pediatrics PC | Pediatrics | 6103 Baltimore Ave, Suite T-1, Riverdale, MD 20737-1966 | 2015-09-23 |
| 1538544754 | Lourdes Gonzalez Aviles | Pediatrics | 6103 Baltimore Ave Ste T1, Riverdale, MD 20737 | 2015-07-29 |
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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.