PRASAD MADDUKURI MD PLLC (NPI# 1922450170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922450170 |
| Entity Type | Organization |
| Organization Name | PRASAD MADDUKURI MD PLLC |
| Practice Address |
341 Wheatfield Dr Suite 190 Sunnyvale TX 75182-4638 |
| Mailing Address |
Po Box 850214 Mesquite TX 75185-0214 |
| Practice Telephone | 9726868200 |
| Mailing Telephone | 8882124243 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | PRASAD V MADDUKURI (GOVERNING MEMBER) |
| Authorized Official Telephone | 6173191958 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
P2895 | TX | Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1902857295 | Prasad V Maddukuri | Internal Medicine | 341 Wheatfield Dr, Suite 190, Sunnyvale, TX 75182-4638 | 2006-05-12 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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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.