DR. RENAUD SRIVATSAV KOMANDUR (NPI# 1912529900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912529900 |
| Entity Type | Individual |
| Full Name | DR. RENAUD SRIVATSAV KOMANDUR |
| Credential | DO |
| Practice Address |
300 W 27th St Lumberton NC 28358-3075 |
| Practice Telephone | 9106715000 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
300 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1215536610 | Grant Hoffman Joerger | Nurse Anesthetist, Certified Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-19 |
| 1134726797 | Giulia Maria Oliva | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-07 |
| 1952917742 | Jennifer Renee Owen | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-09-17 |
| 1992328199 | Kristyn Nicole Flynn | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-21 |
| 1619590130 | Gregory Nathaniel Griffin | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1588287023 | Laura Christine James | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1932721735 | Jacob Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-14 |
| 1891317871 | Michael David-phillip Harris | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
| 1154950202 | Ousman Ceesay | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846090 | Yanling Zheng | Student in an Organized Health Care Education/Training Program | 3634 Fayetteville Rd Apt 3, Lumberton, NC 28358-2701 | 2020-03-20 |
| 1477117877 | Melissa Maxine Burke | Student in an Organized Health Care Education/Training Program | 50 Westminster Dr, Lumberton, NJ 08048-5066 | 2019-05-01 |
| 1831704451 | Reena Motwani | Student in an Organized Health Care Education/Training Program | 395 W 27th St, Lumberton, NC 28358-3018 | 2020-09-10 |
| 1578174306 | Manozna Karri | Student in an Organized Health Care Education/Training Program | 395 W 27th St, Lumberton, NC 28358-3018 | 2020-08-14 |
| 1841818655 | Vinod Krishnappa | Student in an Organized Health Care Education/Training Program | 395 W 27th St, Lumberton, NC 28358-3018 | 2020-07-08 |
| 1992328199 | Kristyn Nicole Flynn | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-21 |
| 1134742547 | Awad Alboga | Student in an Organized Health Care Education/Training Program | 395 W 27th St, Lumberton, NC 28358-3018 | 2020-05-20 |
| 1619590130 | Gregory Nathaniel Griffin | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1588287023 | Laura Christine James | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1255953196 | Elizabeth Pinkason Saunders | Student in an Organized Health Care Education/Training Program | 395 W 27th St, Lumberton, NC 28358-3018 | 2020-05-14 |
| Find all providers in LUMBERTON | ||||
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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.