SARADA GUMMADI MD PA (NPI# 1871892174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871892174 |
| Entity Type | Organization |
| Organization Name | SARADA GUMMADI MD PA |
| Practice Address |
2717 Michael Angelo Suite 302 Edinburg TX 78539-1408 |
| Mailing Address |
4404 Santa Fabiola Mission TX 78572-0521 |
| Practice Telephone | 9564678382 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-12-30 |
| Authorized Official Name | SARADA GUMMADI (OWNER) |
| Authorized Official Telephone | 9565834866 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0062WM | 01 |
| TX | 281570601 | 05 |
| Street Address |
2717 MICHAEL ANGELO SUITE 302 |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467435982 | Carlos Alberto Herrera | Obstetrics & Gynecology | 2717 Michael Angelo, Ste 304, Edinburg, TX 78539 | 2005-11-29 |
| 1275875064 | Gummadi & Desai LLC | Clinical Medical Laboratory | 2717 Michael Angelo, Suite 302, Edinburg, TX 78539-1408 | 2013-03-20 |
| 1972745081 | Ghanem Daghestani Md Pa | Internal Medicine | 2717 Michael Angelo, Suite 303, Edinburg, TX 78539-1408 | 2009-04-03 |
| 1467618215 | Rgv Hemato-oncology, M.d., P.a. | Internal Medicine | 2717 Michael Angelo, Suite 302, Edinburg, TX 78539-1408 | 2008-07-31 |
| 1780865857 | Isaias Mata Jr. | Physician Assistant | 2717 Michael Angelo, Edinburg, TX 78539-1403 | 2007-11-16 |
| 1023167129 | Oscar J Garcia Md Pa | Radiology | 2717 Michael Angelo, Radiation Oncology Dept, Edinburg, TX 78539-1408 | 2007-01-09 |
| 1629011135 | Satish D Desai | Internal Medicine | 2717 Michael Angelo, # 302, Edinburg, TX 78539-1408 | 2006-06-13 |
| 1487612727 | Ghanem Daghestani Md Pa | Internal Medicine | 2717 Michael Angelo, Suite 303, Edinburg, TX 78539-1408 | 2006-05-03 |
| 1629044490 | Oscar J Garcia | Radiology | 2717 Michael Angelo, Radiation Oncology Dept, Edinburg, TX 78539-1408 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1548798275 | Valley Md Group Pllc | Internal Medicine | 230 Conquest Ste H1, Edinburg, TX 78539-0227 | 2017-05-25 |
| 1881121622 | Adarsh Mamachen | Internal Medicine | 1401 Maltese St, Edinburg, TX 78539-3442 | 2017-05-11 |
| 1154715605 | Omar Nidal Shuaib | Internal Medicine | 2821 Michael Angelo Ste 400, Edinburg, TX 78539-1405 | 2015-03-23 |
| 1073959326 | Eduardo Dusty Luna | Internal Medicine | 4113 Crosspoint Blvd # 11, Edinburg, TX 78539-1803 | 2013-05-14 |
| 1982840393 | Pedro Ruben Abanto | Internal Medicine | 4302 S Sugar Rd Ste 101, Edinburg, TX 78539-9140 | 2009-01-07 |
| 1497925564 | E Linda Villarreal Md Pa | Internal Medicine | 1501 S Closner Blvd, Edinburg, TX 78539-5669 | 2008-03-05 |
| 1750443230 | Leonel Villarreal Cantu | Internal Medicine | 2727 W Trenton Rd, Edinburg, TX 78539-3433 | 2006-12-14 |
| 1447349493 | E Linda Villarreal | Internal Medicine | 1501 S. Closner, Edinburg, TX 78539 | 2006-10-11 |
| 1932206315 | Antonio Wong | Internal Medicine | 122 W. Champion, Edinburg, TX 78539-4429 | 2006-09-20 |
| Find all providers in EDINBURG | ||||
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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.