DR. CHAITANYA INDUKURI (NPI# 1912224031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912224031 |
| Entity Type | Individual |
| Full Name | DR. CHAITANYA INDUKURI |
| Credential | MD |
| Practice Address |
13625 Ronald Reagan Blvd Bldg 9, Ste 100 Cedar Park TX 78613 |
| Mailing Address |
13625 Ronald Reagan Blvd, Bldg 9 Ste 100 Cedar Park TX 78613-2073 |
| Practice Telephone | 5128565645 |
| Mailing Telephone | 5128565645 |
| Mailing Fax Number | 5127296441 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | P9880 | TX | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
P9880 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 331 Laidley St, Suite 301, Charleston, WV 253011619 | 3043464400 | 3043460704 |
| Street Address |
13625 RONALD REAGAN BLVD BLDG 9, STE 100 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952867996 | Retina Group of Texas, Pllc | Ophthalmology | 13625 Ronald Reagan Blvd, Bldg 9, Ste 100, Cedar Park, TX 78613 | 2019-02-14 |
| 1518312727 | Jennifer Chester | Dentist | 13625 Ronald Reagan Blvd, Building 10 Suite 300, Cedar Park, TX 78613 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952867996 | Retina Group of Texas, Pllc | Ophthalmology | 13625 Ronald Reagan Blvd, Bldg 9, Ste 100, Cedar Park, TX 78613 | 2019-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328932 | Elshatory Retina Associates, Pllc | Ophthalmology | 3900 American Dr Ste 103, Plano, TX 75075-6188 | 2020-08-29 |
| 1780294629 | Retina Consultants of Houston Pllc | Ophthalmology | 10907 Memorial Hermann Dr Ste 450, Pearland, TX 77584-4115 | 2020-08-05 |
| 1790393106 | Retina Research Center, Pllc | Ophthalmology | 3705 Medical Pkwy Ste 420, Austin, TX 78705-1023 | 2020-07-21 |
| 1386087443 | Abdualrahman Hamad | Ophthalmology | 2727 Gramercy St Ste 200, Houston, TX 77025-1716 | 2013-04-09 |
| 1174857429 | Enrique Eduardo Calderon | Ophthalmology | 2501 Rr 620 S Ste 130, Lakeway, TX 78734 | 2009-09-18 |
| 1265546170 | Courtney Maurice Crawford | Ophthalmology | 2780 Sw Wilshire Blvd, Burleson, TX 76028-8338 | 2006-08-18 |
| 1033183561 | Austin Retina Associates | Ophthalmology | 1180 Seton Pkwy Ste 200, Kyle, TX 78640-6179 | 2006-02-13 |
| 1114999828 | Austin Retina Associates | Ophthalmology | 801 W 38th St Ste 200, Austin, TX 78705-1169 | 2006-02-06 |
| 1265423107 | Keith Denton Fisher | Ophthalmology | 909 9th Avenue, #404, Fort Worth, TX 76104-3918 | 2005-10-31 |
| 1518576487 | Courtney Crawford Md Pllc | Ophthalmology | 2780 Sw Wilshire Blvd, Burleson, TX 76028-8338 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.