DR. GAYATRI BODDUPALLI MADDURI (NPI# 1942629704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942629704 |
| Entity Type | Individual |
| Full Name | DR. GAYATRI BODDUPALLI MADDURI |
| Credential | MD |
| Practice Address |
50 Parnassus Ave San Francisco CA 94117-4343 |
| Mailing Address |
914 Judah St San Francisco CA 94122-2002 |
| Practice Telephone | 4154766245 |
| Mailing Telephone | 4083141478 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2016-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A 143321 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
50 PARNASSUS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158675 | Robert H. Langston | Pediatrics | 3838 California St Rm 815, San Francisco, CA 94118-1510 | 2019-05-07 |
| 1205367919 | Howard Chao | Pediatrics | 550 16th St # 110, San Francisco, CA 94143-2549 | 2017-03-23 |
| 1508226200 | Private Medical Physicians Inc. | Pediatrics | 3580 California St Ste 202, San Francisco, CA 94118-1717 | 2016-02-24 |
| 1326433491 | Emily Rebecca Peitzman | Pediatrics | 1823 Union St Fl 550164, San Francisco, CA 94123-4307 | 2015-04-05 |
| 1972998037 | Elizabeth Yang | Pediatrics | Ucsf Pediatrics 550 16th St Fl 4, San Francisco, CA 94143-0001 | 2015-04-05 |
| 1801281175 | Jessica Maddox | Pediatrics | 2762 23rd St, San Francisco, CA 94110-3442 | 2015-04-02 |
| 1780076448 | Michael Smith | Pediatrics | Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 | 2015-03-04 |
| 1609294909 | Ekaterina Vaisberg | Pediatrics | Dept of Pediatrics Uc San Francisco M691, 505 Parnassus, Box 0110, San Francisco, CA 94143-0001 | 2014-04-03 |
| 1255758512 | Kimberly Nicole Grelli | Pediatrics | Po Box 734, San Francisco, CA 94104-0734 | 2014-03-25 |
| 1417296344 | Dannielle Adora Mcbride | Pediatrics | 1001 Potrero Ave Dept Of, San Francisco, CA 94110-3518 | 2013-02-13 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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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.