VIJAY KUMAR GORINTALA SUBBANNA (NPI# 1851517114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851517114 |
| Entity Type | Individual |
| Full Name | VIJAY KUMAR GORINTALA SUBBANNA |
| Credential | M.D. |
| Practice Address |
1000 Houghton Ave Saginaw MI 48602-5303 |
| Practice Telephone | 9895836800 |
| Practice Fax Number | 9895836915 |
| Mailing Telephone | 9895836800 |
| Mailing Fax Number | 9895836915 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
4301089563 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 105203187 | 05 | |
| MI | LICENSE | 4301089563 | 01 |
| Street Address |
1000 HOUGHTON AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377760 | Frank J Hamlett | Psychiatry & Neurology | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2005-06-23 |
| 1982211181 | Jaspreet Kaur Batth | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-09-30 |
| 1548877434 | Saginaw Cooperative Hospital Inc | Hospitalist | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-09-25 |
| 1679191563 | Zhe Fu Jeff Tu | Psychiatry & Neurology | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-07-08 |
| 1194342246 | Waqas Mohammad Khan | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-07-05 |
| 1558988790 | Amro Ali | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-07-04 |
| 1033736277 | Dushyant Singh Dahiya | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-07-04 |
| 1982221495 | Shweta Kambali | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-06-30 |
| 1689291361 | Alicia Gabriela Hoban | Emergency Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-06-29 |
| 1508483280 | Sreevastav Teja Kalangi | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770819344 | Midmichigan Geriatric Services Pllc | Family Medicine | 4823 Henry Dr, Saginaw, MI 48638-5631 | 2009-11-02 |
| 1508926411 | Paul Theodore Werner | Family Medicine | 2929 Churchill Ln, Saginaw, MI 48603-2675 | 2006-12-11 |
| 1386661213 | Andrew Sears | Family Medicine | 3190 Christy Way S, Suite 5, Saginaw, MI 48603-2286 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651435 | Navihealth Michigan Hbpc, PC | Family Medicine | 2 Towne Sq Ste 275, Southfield, MI 48076-3719 | 2020-02-14 |
| 1215481981 | Metro Physicians Pllc | Family Medicine | 5555 Conner St Ste 2075, Detroit, MI 48213-3492 | 2016-08-10 |
| 1447610704 | Provider Service Organization | Family Medicine | 7233 Provincial Ct, Canton, MI 48187-2121 | 2016-02-29 |
| 1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
| 1174800411 | New Life Medical Senior Care PC | Family Medicine | 105 S Wildwood Xing Apt 20, Ludington, MI 49431-8719 | 2011-11-15 |
| 1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
| 1982871265 | Daniel R Smalley | Family Medicine | 105 S Wildwood Crossing 20, Ludington, MI 49431-8719 | 2008-05-15 |
| 1821267832 | Eastlake Medical Center | Family Medicine | 646 Chene St, Detroit, MI 48207-3979 | 2008-02-23 |
| 1740479278 | William Kerr Md PC | Family Medicine | 650 N Center Ave, Suite 3 B, Gaylord, MI 49735-1682 | 2007-10-22 |
| 1740337393 | Dewey Carl Benson | Family Medicine | 3877 E M72, Williamsburg, MI 49690 | 2007-01-05 |
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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.