PRASAD V MADDUKURI (NPI# 1902857295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902857295 |
| Entity Type | Individual |
| Full Name | PRASAD V MADDUKURI |
| Credential | MD |
| Practice Address |
341 Wheatfield Dr Suite 190 Sunnyvale TX 75182-4638 |
| Mailing Address |
P.o Box 850214 Mesquite TX 75185-0214 |
| Practice Telephone | 2142063695 |
| Practice Fax Number | 8663139413 |
| Mailing Telephone | 2142063695 |
| Mailing Fax Number | 8663139413 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
P2895 | TX | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
P2895 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 303013201 | 05 | |
| TX | MEDICARE | TXB159166 | 01 |
| Street Address |
341 WHEATFIELD DR SUITE 190 |
| City | SUNNYVALE |
| State | TX |
| Zip Code | 75182-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209333 | Edward M Sullivan | Physician Assistant | 341 Wheatfield Dr, Suite 190, Sunnyvale, TX 75182-4638 | 2005-07-18 |
| 1922450170 | Prasad Maddukuri Md Pllc | Clinic/Center | 341 Wheatfield Dr, Suite 190, Sunnyvale, TX 75182-4638 | 2016-07-11 |
| 1457754970 | North Texas Home Dialysis Therapies, LLC | Clinic/Center | 341 Wheatfield Dr, Ste 180, Sunnyvale, TX 75182-4638 | 2014-09-29 |
| 1003169889 | Medhealth | Durable Medical Equipment & Medical Supplies | 341 Wheatfield Dr, Ste#100, Sunnyvale, TX 75182-4638 | 2012-10-18 |
| 1396852612 | Anu F. Ogunlari | Obstetrics & Gynecology | 341 Wheatfield Dr, Suite 270, Sunnyvale, TX 75182-4638 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141806 | Nia Liz Abraham | Student in an Organized Health Care Education/Training Program | 187 Mustang Dr., Sunnyvale, TX 75182 | 2018-10-25 |
| 1467969592 | Elizabeth Varghese | Nurse Practitioner | 284 Crossbow Drive, Sunnyvale, TX 75182 | 2018-01-10 |
| 1043744154 | Mini Iype | Nurse Practitioner | 360 Pedmore Dr., Sunnyvale, TX 75182 | 2017-04-14 |
| 1407389075 | Sal 2016 LLC | Assisted Living Facility | 301 T. C. Lupton Blvd, Sunnyvale, TX 75182 | 2017-04-10 |
| 1114465218 | Emanuela Berari | General Acute Care Hospital | 270 South Collins Rd, Suite 300, Sunnyvale, TX 75182 | 2017-02-08 |
| 1588019764 | Jessy Sebastian | Registered Nurse | 312 Wooded Glen Drive, Sunnyvale, TX 75182 | 2016-04-26 |
| 1982073045 | Jayaprakash Narayana Md Pa | Family Medicine | 347 Towneast Blvd, Sunnyvale, TX 75182 | 2015-09-18 |
| 1902234362 | Joychan Pariyarath Joseph | Nurse Practitioner | 514 E Tripp Rd, Sunnyvale, TX 75182 | 2013-10-23 |
| 1679834295 | North Star Mcd, LLC | Clinic/Center | 222 S Collins Road, Suite 101, Sunnyvale, TX 75182 | 2012-05-30 |
| 1760752869 | Reddy Pediatric Dentistry, P.C. | Dentist | 274 South Collins Road, Sunnyvale, TX 75182 | 2012-01-05 |
| Find all providers in zip 75182 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1912952276 | Darrell Corben | Internal Medicine | 441 Deguigne Dr, #1, Sunnyvale, CA 94085-3875 | 2006-05-24 |
| 1669467445 | Robert Edwin Brockie | Internal Medicine | 490 Us Highway 80 E Ste 100, Sunnyvale, TX 75182-9212 | 2005-09-16 |
| 1265486997 | Camino Medical Group | Internal Medicine | 401 Old San Francisco Rd, Sunnyvale, CA 94086-6387 | 2006-05-19 |
| 1891745501 | Lawrence Brandon Wong | Internal Medicine | 401 Old San Francisco Rd, Sunnyvale, CA 94086-6387 | 2006-05-11 |
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| 1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
| 1295354611 | Cardiocentric | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-04-15 |
| 1134750995 | Specialized Heart Care, Pllc. | Internal Medicine | 7200 N Highway 161 Ste 205, Irving, TX 75039-4132 | 2020-01-30 |
| 1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
| 1790333516 | C Care Cardiovascular Center | Internal Medicine | 1445 Bessemer Dr Ste E, El Paso, TX 79936-5909 | 2019-08-27 |
| 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.