DR. PRIYA RUDOLPH


Address: 125 King Ave, Suite 200, Athens, GA 30606-6734
Phone: 7063694478

DR. PRIYA RUDOLPH (NPI# 1871587113) 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) 1871587113
Entity Type Individual
Full Name DR. PRIYA RUDOLPH
Credential MD, PHD
Practice Address 125 King Ave
Suite 200
Athens
GA 30606-6734
Mailing Address 1835 Savoy Dr
Suite 300
Atlanta
GA 30341-1072
Practice Telephone 7063694478
Practice Fax Number 7063536639
Mailing Telephone 7063694478
Mailing Fax Number 7063536639
Enumeration Date 2005-09-01
Last Update Date 2020-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
068852 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA RR MEDICARE P01155926 01
GA 003129225C 05
GA 003129225B 05

Office Location

Street Address 125 KING AVE
SUITE 200
City ATHENS
State GA
Zip Code 30606-6734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215320098 Athens Orthopedic Clinic, Pa Orthopaedic Surgery 125 King Ave, Athens, GA 30606-6734 2015-03-18
1114264694 Aynaddis Fekadu Nurse Practitioner 125 King Ave, Suite 200, Athens, GA 30606-6734 2013-01-03
1700137874 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 125 King Ave, 2nd Floor, Suite 200, Athens, GA 30606-6734 2012-09-28
1063656106 Jenifer Susan Miller Nurse Practitioner 125 King Ave, Suite 200, Athens, GA 30606-6734 2009-04-20
1265640247 Georgia Cancer Specialists I PC Internal Medicine 125 King Ave, Suite 200, Athens, GA 30606-6734 2007-05-21
1306059613 Charles Lawton Ogburn IIi Orthopaedic Surgery 125 King Ave, Athens, GA 30606-6734 2007-05-07
1801011473 Nirav S. Dhruva Internal Medicine 125 King Ave, Suite 200, Athens, GA 30606-6734 2007-04-17
1750419487 Ranjana Satyamurthy Bhargava Internal Medicine 125 King Ave, Suite 200, Athens, GA 30606-6734 2007-03-02
1952485377 Dortheann Metzinger Social Worker 125 King Ave, Suite 200, Athens, GA 30606-6734 2006-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942816962 Kofi Darkwa Seffah Student in an Organized Health Care Education/Training Program 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 2020-09-16
1831712363 Rebecca John Licensed Practical Nurse 240 Mitchel Bridge Road, Athens, GA 30606 2020-05-19
1497375612 Alfred Ka-shing Wong Student in an Organized Health Care Education/Training Program 1270 Prince Ave Suite 201, Athens, GA 30606 2020-04-17
1881223956 Lauren Fesperman Nurse Practitioner 242 King Ave Ste 130, Athens, GA 30606 2020-04-02
1255966081 Westminster Presbyterian Homes, Inc. Skilled Nursing Facility 1400 Live Oak Ln, Building 100, Athens, GA 30606 2020-03-12
1255981700 Carol Cameron Cready-pyle Social Worker 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 2019-09-17
1013576016 Lauren Gruendling Nurse Practitioner 242 King Avenue, Suite 210, Athens, GA 30606 2019-06-12
1760045223 Dominic Ofosu Amakye Student in an Organized Health Care Education/Training Program 1270 Prince Avenue Suite 201, Athens, GA 30606 2019-04-19
1740740422 Juan G Salazar Castillo Student in an Organized Health Care Education/Training Program Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 2019-03-20
1750869020 Jennifer Emily Chapman Physical Therapist 1021 Parkway Blvd Ste 101, Athens, GA 30606 2018-07-30
Find all providers in zip 30606

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942588918 Gustavo Figueiredo Marcondes Westin Internal Medicine 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 2011-07-25
1548410400 Ali M. Sayed Internal Medicine 125 King Ave Ste 200, Athens, GA 30606-6710 2008-09-26
1306005798 Shawn Tai Internal Medicine 115 Medical Cir Ste 106, Athens, TX 75751 2008-06-02
1790854255 Southeast Cancer Network, Inc Internal Medicine 22281 Us Highway 72, Ste B, Athens, AL 35613-2600 2006-11-07
1528451978 Athens Regional University Cancer Center, LLC Internal Medicine 3320 Old Jefferson Rd, Building 700, Athens, GA 30607-1400 2015-03-10
1265640247 Georgia Cancer Specialists I PC Internal Medicine 125 King Ave, Suite 200, Athens, GA 30606-6734 2007-05-21
1235356247 Frederick Lee Flynt Jr. Internal Medicine 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 2007-04-19
1750419487 Ranjana Satyamurthy Bhargava Internal Medicine 125 King Ave, Suite 200, Athens, GA 30606-6734 2007-03-02
1891843819 Tennessee Cancer Specialists Pllc Internal Medicine 1114 W Madison Ave, Athens Regional Medical Center, Athens, TN 37303-4150 2007-01-08
1730236688 Cynthia L Shepherd Internal Medicine 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607 2007-01-04
Find all providers in ATHENS

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City ATHENS
Zip Code 30606

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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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