DODDAMETIKUR SIDDAPPA (NPI# 1891979902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891979902 |
| Entity Type | Individual |
| Full Name | DODDAMETIKUR SIDDAPPA |
| Credential | M. D. |
| Practice Address |
445 Winn Way Dekalb Community Service Board Decatur GA 30031 |
| Mailing Address |
3110 Clifton Spring Clifton Springs Mental Health Center Decatur GA 30034 |
| Practice Telephone | 4042943742 |
| Practice Fax Number | 4045087891 |
| Mailing Telephone | 4042439500 |
| Mailing Fax Number | 4042442224 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
021810 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
445 WINN WAY DEKALB COMMUNITY SERVICE BOARD |
| City | DECATUR |
| State | GA |
| Zip Code | 30031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588691 | Nancy S Koughan | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2005-06-16 |
| 1699372342 | Marteia Wells | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2020-10-06 |
| 1205440831 | Trikella T Jones | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-09-01 |
| 1376166611 | Rashanna Ratliff | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-05-21 |
| 1710513783 | Mary L Locke | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-03-20 |
| 1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
| 1053959254 | John Francis Beltrami | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2019-12-18 |
| 1609411172 | Jean Lehmann | Dietitian, Registered | 445 Winn Way, Decatur, GA 30030-1707 | 2019-11-08 |
| 1437709086 | Joseph Pfeffer | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-09-16 |
| 1760047013 | Karen Brown Taylor | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912106568 | Renaissance Counseling Services,llc | Community/Behavioral Health | 691 E. College Ave., Decatur, GA 30031 | 2007-07-13 |
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912140401 | Sonya M Soliman | Psychiatry & Neurology | 1215 7th St Se Ste 260, Decatur, AL 35601-3399 | 2009-04-13 |
| 1356418586 | Douglas James Dove | Psychiatry & Neurology | Two Memorial Drive, Suite 200, Decatur, IL 62526-1590 | 2006-11-30 |
| 1104835412 | Sherry A Reid | Psychiatry & Neurology | 1770 E Lake Shore Dr Lowr Ll1, Decatur, IL 62521-3832 | 2006-08-05 |
| 1689608218 | Michael Ashley Norman | Psychiatry & Neurology | 2665 North Decatur Rd, Ste 630, Decatur, GA 30033-4167 | 2006-07-10 |
| 1992738637 | Neurology and Headache Specialists of Atl, LLC | Psychiatry & Neurology | 2665 North Decatur Road, Ste 630, Decatur, GA 30033-4167 | 2006-07-08 |
| 1417948415 | Allied Physicians Inc., D/b/a Fort Wayne Neurololgy | Psychiatry & Neurology | 815 High St, Suite A, Decatur, IN 46733-2351 | 2005-10-31 |
| 1639170095 | Eston Gibbons Norwood IIi | Psychiatry & Neurology | 1215 7th St Se, #260, Decatur, AL 35601-3304 | 2005-08-09 |
| 1508869116 | Muhammad Naeem | Psychiatry & Neurology | 2351 S Fm 51 Ste 100, Decatur, TX 76234-3778 | 2005-05-27 |
| 1144691908 | Decatur Morgan Neurology | Psychiatry & Neurology | 1215 7th St Se, Suite 260, Decatur, AL 35601-3337 | 2015-10-19 |
| 1457722209 | Intensive Neuromonitoring LLC | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2015-10-19 |
| Find all providers in DECATUR | ||||
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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.