DR. ARUN PRAHASH (NPI# 1912984568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912984568 |
| Entity Type | Individual |
| Full Name | DR. ARUN PRAHASH |
| Credential | M.D. |
| Practice Address |
1267 Highway 54 W Ste 2200 Fayetteville GA 30214-2110 |
| Mailing Address |
2727 Paces Ferry Rd Se Ste 1-1100 Atlanta GA 30339-6151 |
| Practice Telephone | 7707160051 |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
83511 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SOUTHERN HEALTH | 624885 | 01 |
| VA | MEDICARE GROUP PIN | C10061 | 01 |
| VA | 1912984568 | 05 | |
| VA | ANTHEM | 304371 | 01 |
| Street Address |
1267 HIGHWAY 54 W STE 2200 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429531 | Brittney Shay Pasko | Nurse Practitioner | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2020-08-25 |
| 1326484213 | Paul Constantine Karagiannis | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2013-05-17 |
| 1598021180 | Rani Ashwin Shah | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2012-04-08 |
| 1699054775 | Tesfaye Telila | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 | 2011-08-08 |
| 1043506272 | Sushee C Gadde | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 | 2011-06-27 |
| 1912293812 | Mitkumar Patel | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2011-06-20 |
| 1699065805 | Garry Oneil Mcculloch | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2011-04-10 |
| 1548495849 | Sujith Kuruvilla | Internal Medicine | 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
| 1659560647 | Oduwole Organization Inc | Internal Medicine | 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 | 2007-10-16 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1679890966 | Washington Regional Medical System | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2010-04-26 |
| 1386827574 | Cumberland Cardiology, P.a. | Internal Medicine | 909 S Mcpherson Church Rd, Fayetteville, NC 28303-5350 | 2007-12-11 |
| 1831386556 | Zubair Ahmed | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2007-09-26 |
| 1689769507 | Cardiac Disease Specialists, PC | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 | 2006-10-04 |
| 1538254487 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Yorktown Dr, Ste 209, Fayetteville, GA 30214-1568 | 2006-10-04 |
| 1841216595 | Geetha Ramaswamy | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-07-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.