DR. KASTURI ETUKURU (NPI# 1912117300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912117300 |
| Entity Type | Individual |
| Full Name | DR. KASTURI ETUKURU |
| Credential | M.D., |
| Practice Address |
355 Bard Ave Staten Island NY 10310-1664 |
| Mailing Address |
355 Bard Ave Apt#6g Staten Island NY 10310-1664 |
| Practice Telephone | 7188182526 |
| Mailing Telephone | 7187010043 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 244886 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
355 BARD AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875489 | John Louis Ferguson | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-01-12 |
| 1427657824 | Ahmad Jamal Hashmat | Specialist/Technologist, Other | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-10-19 |
| 1437776572 | Mino M. Abdelmessih | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1639796774 | Mohamad M Anwar | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1689299331 | Richmond Medical Center | Ambulance | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-06-09 |
| 1750903357 | Natascha Cirignani | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-18 |
| 1881215309 | Calli Alexandra Carnavas | Physician Assistant | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-06 |
| 1154941516 | Bryan Christopher Nugent | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-04-25 |
| 1053931717 | Eduardo Cadore Guzzo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Rumc - Department of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-23 |
| 1679192322 | Burhan Riaz | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| 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 |
|---|---|---|---|---|
| 1700404720 | Medical Doctor Milena Kolesnikova PC | Internal Medicine | 586 Midland Ave Ste B, Staten Island, NY 10306-5903 | 2020-07-07 |
| 1962913459 | Vaithilingam Arulthasan Md PC | Internal Medicine | 57 Andes Pl, Staten Island, NY 10314-5524 | 2017-10-24 |
| 1306384839 | Nazar Sharak | Internal Medicine | 7 Father Capodanno Blvd, Staten Island, NY 10305-4801 | 2017-02-03 |
| 1326494485 | Syed Shahab Kazmi | Internal Medicine | 355 Bard Ave Dept of Medicine Villa Building, 1st Floor, Staten Island, NY 10310-1664 | 2016-05-09 |
| 1114380383 | Crown Neurology, P.C. | Internal Medicine | 1181 Woodrow Rd, Staten Island, NY 10309-1723 | 2016-04-04 |
| 1114386265 | Maryline Shang Nformi | Internal Medicine | 355 Bard Avenue, Dep't of Medicine Villa B'dg 1st Floor, Staten Island, NY 10310-1664 | 2016-02-17 |
| 1639557382 | Charles Sineri | Internal Medicine | 104 Nashville St, Staten Island, NY 10307-1325 | 2015-05-14 |
| 1669866158 | Ellis Enabosi | Internal Medicine | 455 Jersey St, Staten Island, NY 10301-2976 | 2015-03-24 |
| 1780086363 | Prr Diagnostic Medicine PC | Internal Medicine | 1265 Clove Rd, Staten Island, NY 10301-4339 | 2014-09-25 |
| 1689088403 | Ashraf Saad Dwal | Internal Medicine | 355 Bard Ave Dept Of, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2014-06-19 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.