VIKRAM R MALLADI (NPI# 1902814015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902814015 |
| Entity Type | Individual |
| Full Name | VIKRAM R MALLADI |
| Credential | MD |
| Practice Address |
1350 S Eliseo Dr Greenbrae CA 94904-2011 |
| Practice Telephone | 4159256900 |
| Mailing Telephone | 4159256900 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
L7623 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1350 S ELISEO DR |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037500 | John Bettinger | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2005-07-19 |
| 1679127716 | Crystal Ann Brierton | Speech-Language Pathologist | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2019-07-26 |
| 1841705399 | David Fonseca Tapia | Emergency Medical Technician, Basic | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2017-12-06 |
| 1538595905 | Julie Ilene Nicholson | Counselor | 1350 S Eliseo Dr, Suite 220, Greenbrae, CA 94904-2011 | 2013-09-17 |
| 1205271483 | Laury Rappaport | Marriage & Family Therapist | 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904-2011 | 2013-05-01 |
| 1407192438 | Amy Jeanne Holm | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2012-12-19 |
| 1801172598 | Melissa Ovalles Tejada | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2011-10-26 |
| 1073892717 | Prima Medical Foundation | Surgery | 1350 S Eliseo Dr, #210, Greenbrae, CA 94904-2011 | 2011-08-11 |
| 1629370499 | Marin Cancer Care, Inc. | Radiology | 1350 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2011 | 2010-11-29 |
| 1376867010 | Christopher Hogan | Internal Medicine | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2010-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1225037500 | John Bettinger | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2005-07-19 |
| 1376867010 | Christopher Hogan | Internal Medicine | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2010-03-24 |
| 1447371505 | Natalie C Lee | Internal Medicine | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2007-04-03 |
| 1396709796 | Danny D Kao | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904 | 2006-04-13 |
| 1619931011 | David S Bloom | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904 | 2006-04-13 |
| 1770546673 | Richard Chad Mcauliffe | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904 | 2006-04-11 |
| 1023071925 | Albert A Varner | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904 | 2006-04-11 |
| 1063475952 | Timothy M Sowerby | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904 | 2006-04-11 |
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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.