GANGADHARA R KABBLI (NPI# 1841337672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841337672 |
| Entity Type | Individual |
| Full Name | GANGADHARA R KABBLI |
| Credential | MD |
| Practice Address |
1243 Pennsylvania Ave Pine City NY 14871 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6077346281 |
| Practice Fax Number | 6077344409 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 262909 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
262909 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03397880 | 05 | |
| PA | 1032498220002 | 05 |
| Street Address |
1243 PENNSYLVANIA AVE |
| City | PINE CITY |
| State | NY |
| Zip Code | 14871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285605766 | William Ridge Mcclintic | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-01-31 |
| 1104152792 | Guthrie Clinic Ltd | Clinic/Center | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2009-11-02 |
| 1710118781 | Andrea E Herman | Physician Assistant | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2009-08-07 |
| 1790977890 | Guthrie Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2007-08-13 |
| 1508947540 | Christopher Daniel Fucito | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-10-18 |
| 1790877611 | Julie Dorsey Boersen | Nurse Practitioner | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-28 |
| 1376645838 | Najeeb Ur Rehman | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-03 |
| 1205938263 | Vincent S Ladelia | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-01 |
| 1720055528 | Thomas R. Gustafson | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-03-01 |
| 1588630305 | Leslie Scott Rachlin | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548538309 | Joan M Gensel | Student in an Organized Health Care Education/Training Program | 1551 Pennsylvania Ave, Pine City, NY 14871-9110 | 2011-12-08 |
| 1497804462 | Doris Farmer-raymond | Occupational Therapist | 976 Sebring Ave, Pine City, NY 14871-9247 | 2007-01-09 |
| 1780912634 | Sara L Frunzi | Social Worker | 11740 Fish Pond Rd, Pine City, NY 14871-9412 | 2009-12-03 |
| 1437413408 | Jessica Stalica | Specialist | 1297 Hittown Rd, Pine City, NY 14871-9425 | 2012-06-25 |
| 1639450067 | Brenda Prins | Registered Nurse | 1548 Mount Zoar Rd, Pine City, NY 14871-9545 | 2011-08-30 |
| 1376565697 | Judy J. Schaeffler | Specialist | 1554 Mount Zoar Rd, Pine City, NY 14871-9545 | 2006-07-24 |
| 1861851776 | Kym Beckman-draht | Registered Nurse | 1250 Mount Zoar Rd, Pine City, NY 14871-9549 | 2016-02-19 |
| 1285181362 | Corin M Smith | Licensed Practical Nurse | 83 Holden Rd, Pine City, NY 14871-9564 | 2016-09-06 |
| 1528572906 | Nicole Strong | Registered Nurse | 601 Kinner Hill Rd, Pine City, NY 14871-9569 | 2017-11-21 |
| 1154758464 | Dorothydana Waring | Counselor | 492 Dry Run Rd, Pine City, NY 14871-9663 | 2013-10-01 |
| Find all providers in zip 14871 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1376645838 | Najeeb Ur Rehman | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-03 |
| 1205938263 | Vincent S Ladelia | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-01 |
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|---|---|---|---|---|
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| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
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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.