MADHAVI KANNEGANTI (NPI# 1881768075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881768075 |
| Entity Type | Individual |
| Full Name | MADHAVI KANNEGANTI |
| Credential | MD |
| Practice Address |
11670 Martin Warren MI 48093 |
| Practice Telephone | 5867543830 |
| Practice Fax Number | 5867543840 |
| Mailing Telephone | 5867543830 |
| Mailing Fax Number | 5867543840 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MK058470 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
4301058470 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCN | P49707 | 01 |
| MI | 3357489 | 05 |
| Street Address |
11670 MARTIN |
| City | WARREN |
| State | MI |
| Zip Code | 48093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780696567 | Asima S Hussain | Family Medicine | 11670 Martin, Warren, MI 48093 | 2006-08-12 |
| 1528115037 | Radha Kumari Chitturi | Medical Genetics, Ph.D. Medical Genetics | 11670 Martin, Kaiser Medical, Warren, MI 48093 | 2007-01-05 |
| 1770680381 | Elango Edhayan | Surgery | 11670 Martin, Warren, MI 48093 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1528278058 | Imad Makram Obeid | Internal Medicine | 30117 Schoenherr Rd, Suite 100, Warren, MI 48088-6854 | 2007-05-23 |
| 1588752422 | Sam Hamade | Internal Medicine | 30117 Schoenherr Rd, Suite 100, Warren, MI 48088-6854 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266563 | Woodhaven Specialists PC | Internal Medicine | 18600 Van Horn Road, Woodhaven, MI 48183-3828 | 2019-03-27 |
| 1023539913 | Yasir M M Farah | Internal Medicine | 37595 7 Mile Rd # 340, Livonia, MI 48152-1003 | 2017-06-29 |
| 1184078792 | Jon Jen Pllc | Internal Medicine | 6704 Country Club Ln, West Bloomfield, MI 48322-3972 | 2016-04-20 |
| 1861797144 | Asadulla Mohammed Md PC | Internal Medicine | 27901 Woodward Ave Ste 220, Berkley, MI 48072-0918 | 2011-01-19 |
| 1346553476 | Raminderjit Sekhon | Internal Medicine | 18181 Oakwood Blvd Ste 208, Dearborn, MI 48124-5031 | 2010-07-19 |
| 1881912517 | Amaraja Kanitkar | Internal Medicine | 3175 W. Professinal Drive, Mclaren Bay Pulmonology, Bay City, MI 48706 | 2010-05-05 |
| 1467682443 | Mihai Iliesiu | Internal Medicine | 27483 Dequindre Rd Ste 210, Madison Heights, MI 48071-5711 | 2009-07-23 |
| 1578710232 | Albert Naveed | Internal Medicine | 3950 Hollywood Rd Ste 280, Saint Joseph, MI 49085-9151 | 2008-08-25 |
| 1669636718 | Anthony Iacco | Internal Medicine | 22987 W 13 Mile Rd, Beverly Hills, MI 48025-4447 | 2008-07-17 |
| 1750545828 | Mohd Shaffi Kanjwal | Internal Medicine | 1015 S Washington Ave Ste D, Saginaw, MI 48601-2556 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
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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.