DR. ROOPASHREE PRABHUSHANKAR (NPI# 1831402429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831402429 |
| Entity Type | Individual |
| Full Name | DR. ROOPASHREE PRABHUSHANKAR |
| Credential | MD |
| Practice Address |
612 W Baseline Rd Mesa AZ 85210-6041 |
| Practice Telephone | 4808349039 |
| Practice Fax Number | 4809647802 |
| Mailing Telephone | 4808349039 |
| Mailing Fax Number | 4809647802 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
49977 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 2013020803 | MO | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 019985 | 05 |
| Street Address |
612 W BASELINE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588692479 | Ijaz Ali | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2006-06-29 |
| 1104344969 | Licel Tumpap | Nurse Practitioner | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2017-08-31 |
| 1336686187 | Valley Kidney Corp | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2017-01-31 |
| 1457796179 | Hayun Kim | Registered Nurse | 612 W Baseline Rd, Mesa, AZ 85210 | 2013-05-08 |
| 1285946707 | Sandra Sue Gaiser | Specialist | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2010-07-13 |
| 1467779413 | Ramya Vejella | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2010-04-30 |
| 1497082432 | Manjunath Shivamanya Kottalgi | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2009-11-12 |
| 1154557866 | Ruchir Sureshbhai Patel | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2009-06-09 |
| 1114175312 | Prashant Kolar | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2008-09-03 |
| 1992981153 | Sridhar G Nair | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073966487 | Desert Sky Endocrinology Associates Plc | Internal Medicine | 7115 E Baseline Rd, Suite 110, Mesa, AZ 85209-4039 | 2016-07-20 |
| 1366731358 | Gina Marie Mathew | Internal Medicine | 1917 S Crismon Rd, Mesa, AZ 85209-6216 | 2011-03-30 |
| 1316010978 | Valley Endocrine Associates, P.C. | Internal Medicine | 217 S 63rd St Ste 105, Mesa, AZ 85206-6106 | 2006-11-15 |
| 1477501161 | Joseph Khatchadourian | Internal Medicine | 4140 E Baseline Rd Ste 101, Mesa, AZ 85206-4413 | 2006-05-04 |
| 1467680165 | Cho Long Elizabeth Kim | Internal Medicine | 108 E 2nd Ave, Mesa, AZ 85210-1410 | 2009-07-01 |
| 1154397750 | Gyan Brard | Internal Medicine | 217 S 63rd St, Suite 105, Mesa, AZ 85206-6105 | 2006-02-24 |
| 1285600783 | Shahzad Shadmany | Internal Medicine | 217 S 63rd St, Suite 105, Mesa, AZ 85206-6105 | 2006-02-24 |
| 1518933126 | Robert Charles Biesbroeck | Internal Medicine | 217 S 63rd St, Suite 105, Mesa, AZ 85206-1611 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770146466 | Arkangel Endocrinology & Diabetes | Internal Medicine | 1661 E Camelback Rd Ste 235, Phoenix, AZ 85016-3983 | 2019-04-17 |
| 1689157166 | Healthy Living Diabetes and Endocrinology Plc | Internal Medicine | 908 W Chandler Blvd B-4, Building B, Suite 4, Chandler, AZ 85225-2548 | 2018-09-11 |
| 1609287317 | Stewart Hamilton | Internal Medicine | 11306 E Via Canada, Yuma, AZ 85367-7241 | 2014-05-15 |
| 1003168840 | Naga Nalini Tirumalasetty | Internal Medicine | 908 W Chandler Blvd Ste 4, Chandler, AZ 85225-2548 | 2012-10-03 |
| 1811257710 | Syoufi Endocrinology | Internal Medicine | 9336 E Raintree Dr Ste 150, Scottsdale, AZ 85260-7314 | 2012-05-24 |
| 1528387834 | Suzi Kochar | Internal Medicine | 3000 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7802 | 2010-05-26 |
| 1275762130 | Muhammad Jawad Sethi | Internal Medicine | 6365 E Tanque Verde Rd Ste 200, Tucson, AZ 85715 | 2009-07-13 |
| 1790956464 | Dcoa Physician Associates Pa | Internal Medicine | Nec Litchfield & Mcdowell Road, Building A Suite 104, Goodyear, AZ 85338 | 2008-03-20 |
| 1821276544 | Shabeena Shaik | Internal Medicine | 3501 S Mercy Rd, Ste 101, Gilbert, AZ 85297-0438 | 2008-02-05 |
| 1528249661 | Kevin Choong Ji Yuen | Internal Medicine | 124 W Thomas Rd Ste 300, Phoenix, AZ 85013 | 2007-11-16 |
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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.