DR. SOUMYA LAKSHMI PANDALAI (NPI# 1831310275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831310275 |
| Entity Type | Individual |
| Full Name | DR. SOUMYA LAKSHMI PANDALAI |
| Other Name | DR. SOUMYA LAKSHMI PANDALAI |
| Credential | MD |
| Practice Address |
1300 N 12th St Ste 605 Phoenix AZ 85006-2850 |
| Mailing Address |
3351 Twilight Dr Blue Ash OH 45241-3158 |
| Practice Telephone | 5132255451 |
| Mailing Telephone | 5132255451 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 207R00000X | AZ | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
35.120211 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
35120211 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 208000000X | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3131 Harvey Ave, Cincinnati, OH 452293000 | 5315858227 | 5135858278 |
| Street Address |
1300 N 12TH ST STE 605 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646450 | Kelsey Leite | Pharmacist | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-07-13 |
| 1144849035 | Serenity G Sweet | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-11 |
| 1093334112 | Megan Cathleen Kelly | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-09 |
| 1083243422 | Antontrey Begaye | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-07 |
| 1760011514 | Ali Etman | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-03 |
| 1336778448 | Kaylee De Tranaltes | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1588293609 | Kimberly Torrez | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1629607718 | Cayman Martin | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-02 |
| 1811543366 | Matthew Gotfryd | Pharmacist | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2019-08-12 |
| 1326500687 | Heather Merchut | Family Medicine | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326585662 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas, Phoenix, AZ 85037 | 2017-01-25 |
| 1851694103 | Rtopete, Md, Plc | Internal Medicine | 3145 E Chandler Blvd Ste 110, Pmb 437, Phoenix, AZ 85048-8702 | 2010-12-08 |
| 1033342027 | Rtopete LLC | Internal Medicine | 1943 E Brookwood Ct, Phoenix, AZ 85048-4233 | 2009-08-25 |
| 1487611158 | Reyes R Topete | Internal Medicine | 3145 E Chandler Blvd, Ste 110 Pmb 437, Phoenix, AZ 85048-8702 | 2006-04-27 |
| 1194993600 | Accredited Internal Medicine, P.C. | Internal Medicine | 4350 E Ray Rd, Suite 101b, Phoenix, AZ 85044-4703 | 2008-02-19 |
| 1033247630 | Michael W. Loes | Internal Medicine | 11047 N 19th Ave, Phoenix, AZ 85029-4816 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491780 | Ford Medical Treatment Center | Internal Medicine | 11624 E Bellflower Dr, Chandler, AZ 85249-4525 | 2018-03-23 |
| 1033509070 | Cope Community Services, Inc. | Internal Medicine | 5401 E. 5th Street, Tucson, AZ 85712 | 2015-01-29 |
| 1346519071 | Jay E Caldwell | Internal Medicine | 4700 N Camino Corto, Tucson, AZ 85718-6011 | 2011-12-27 |
| 1700835063 | Michel A Sucher | Internal Medicine | 3260 N Hayden Rd, Suite 101, Scottsdale, AZ 85251-6649 | 2006-05-06 |
| 1891793956 | Robert F Kasa | Internal Medicine | 500 N Florence St, Casa Grande, AZ 85122 | 2005-07-12 |
| 1841899887 | Margie Faye Hoke | Internal Medicine | 9377 E Bell Rd Ste 361, Scottsdale, AZ 85260-1870 | 2020-10-21 |
| 1639633068 | Hope Medical Clinic | Internal Medicine | 500 N Florence St, Casa Grande, AZ 85122-4427 | 2019-01-30 |
| 1487845756 | Robert F. Kasa Md PC | Internal Medicine | 500 N Florence St, Casa Grande, AZ 85122-4427 | 2007-08-05 |
| 1982653838 | Hope Medical Clinic | Internal Medicine | 500 N Florence St, Casa Grande, AZ 85122-4427 | 2006-05-09 |
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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.