NEETI MUKESH KANODRA


Address: 1708 Yakima Ave, Suite 300, Tacoma, WA 98405-5307
Phone: 2535725140

NEETI MUKESH KANODRA (NPI# 1790914141) 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) 1790914141
Entity Type Individual
Full Name NEETI MUKESH KANODRA
Credential M.D.
Practice Address 1708 Yakima Ave
Suite 300
Tacoma
WA 98405-5307
Practice Telephone 2535725140
Enumeration Date 2009-07-07
Last Update Date 2016-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
MD60605112 WA Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD60605112 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 1708 YAKIMA AVE
SUITE 300
City TACOMA
State WA
Zip Code 98405-5307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598758484 Manuel Guillermo Iregui Internal Medicine 1708 Yakima Ave, Suite 300, Tacoma, WA 98405-5307 2005-08-25
1356962401 Austin Frazer Forbes Surgery 1708 Yakima Ave, Tacoma, WA 98405-5307 2020-04-29
1982146684 Sharleen Huon Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-11
1053853903 Christine Ibrahim Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-09
1598207524 Inna Vasilyev Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-08
1346782562 Shawn Hagland Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-07
1427500867 Ferowsi Pecoraro Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-02
1700338530 Cynthia Hinds Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-27
1114477064 Kayla Grzybowski Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-04
1619427515 Jessica Chung Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588719686 Saleh A Ismail Internal Medicine 1708 Yakima Ave Ste 300, Tacoma, WA 98405-5309 2007-01-25
1699749218 Vincent Mysliwiec Internal Medicine Department of Pulmonary Medicine: Mamc, 9040 Fitzsimmons Ave, Tacoma, WA 98431-0001 2006-02-13
1669740635 Aparna Kadambi Internal Medicine 1708 Yakima Ave Ste 300, Tacoma, WA 98405-5309 2011-12-06
1497086698 Patrick Riley Smith Internal Medicine 9040 Jackson Ave, Tacoma, WA 98431-0001 2010-01-27
1396994869 Leslie A Jette-kelly Internal Medicine Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1000 2008-09-09
1538285275 David Emerson Lee Internal Medicine 1717 S J St, Tacoma, WA 98405-4933 2007-03-22
1851359509 Pulmonary Consultants Pllc Internal Medicine 1708 Yakima Ave, Ste 300, Tacoma, WA 98405-5307 2006-05-03
1245201698 Kevin Michael Kumke Internal Medicine Madigan Army Medical Ctr, Jblm, Tacoma, WA 98430-0001 2006-02-01
1619957065 Bernard Johannes Roth Internal Medicine Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2006-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386004638 Kent N Sullivan Md Pllc Internal Medicine 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 2016-02-29
1215363676 Lawrence Edward Klock Jr. Internal Medicine 4115 S Bellgrove Ln, Spokane, WA 99223-6185 2013-09-17
1427495274 Mohammed Nayeemuddin Internal Medicine 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 2013-06-03
1174864912 Steven Chase Springmeyer Internal Medicine 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 2013-03-04
1326364688 Surafel Befekadu Gezahegne Internal Medicine 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 2010-04-12
1649439209 Allison A Lambert Internal Medicine 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 2008-06-08
1114192937 Richard Clark Redman Internal Medicine 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 2008-04-23
1467637058 John E Sailer Internal Medicine 181 Saddle Drive, Port Townsend, WA 98368 2008-01-02
1891995882 Bridget Collins Internal Medicine Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 2007-07-19
1538368360 Vincent George Lerma Cunanan Internal Medicine 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 2007-07-12
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Competitor

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City TACOMA
Zip Code 98405

Improve Information

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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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