DR. HANMANTH JAIDEEP REDDY NEBOORI (NPI# 1982961520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982961520 |
| Entity Type | Individual |
| Full Name | DR. HANMANTH JAIDEEP REDDY NEBOORI |
| Credential | M.D. |
| Practice Address |
2545 Schoenersville Rd Bethlehem PA 18017 |
| Mailing Address |
2545 Schoenersville Rd Bethlehem PA 18017-7300 |
| Practice Telephone | 4848845818 |
| Practice Fax Number | 6104020708 |
| Mailing Telephone | 4848845818 |
| Mailing Fax Number | 6104020708 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD468397 | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A150199 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1240 S Cedar Crest Blvd, Allentown, PA 181036369 | 6104020709 | 6104020708 |
| 1316 Nelson Ave, Modesto, CA 953505341 | 2095755870 | 2095755872 |
| 181 E Brown St, East Stroudsburg, PA 183013004 | 5704221700 | 5704763473 |
| Street Address |
2545 SCHOENERSVILLE RD |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929197 | Mari Ann Mcgoff | Internal Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2005-08-10 |
| 1821697608 | Samantha Moussa | Physician Assistant | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-10-22 |
| 1992319032 | Christopher Thomas Hager | Pharmacist | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-09-05 |
| 1013525443 | Amanda Blair Stone | Dietitian, Registered | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-07-22 |
| 1548886708 | Kyle Wilson | Emergency Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-06-23 |
| 1710502315 | Samantha Leigh Gaetani | Emergency Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-06-10 |
| 1619591229 | Rossana Cruciata | Dentist | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-05-31 |
| 1225651474 | Virginia Cacciatore | Recreation Therapist | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-05-22 |
| 1174145551 | Aaron Deutsch | Emergency Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-05-08 |
| 1194347542 | Justin Le | Dentist | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053516096 | Grace Fan | Radiology | 801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015-1000 | 2007-06-19 |
| 1932152089 | Nimisha Deb | Radiology | 801 Ostrum St, St. Luke's Hospital, Bethlehem, PA 18015-1000 | 2006-05-18 |
| 1831142124 | Nicholas M Cardiges | Radiology | 801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015-1000 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433632 | Victor Eric Chen | Radiology | 111 S 11th St # G301, Philadelphia, PA 19107 | 2017-05-02 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1346635455 | Adam Christopher Mueller | Radiology | 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 | 2015-04-06 |
| 1790027662 | George Edward Mccarthy Jr. | Radiology | 419 Riverview Rd, Swarthmore, PA 19081-1222 | 2013-03-19 |
| 1891033619 | Melvin Fisher Strockbine | Radiology | 805 Michigan Ave, Lemoyne, PA 17043-1207 | 2013-01-29 |
| 1558611947 | East Coast Radiation Oncology PC | Radiology | 1701 E Broad St, Hazleton, PA 18201-5621 | 2012-09-13 |
| 1487916193 | Sonam Sharma | Radiology | 3400 Civic Blvd, Philadelphia, PA 19104-4206 | 2012-06-10 |
| 1053684449 | Donald E. Red | Radiology | 741 Hillview Rd, Malvern, PA 19355-3430 | 2012-02-15 |
| 1972875763 | Gregory Christopher Treharne | Radiology | 100 One Norwegian Plaza, Pottsville, PA 17901-6029 | 2012-02-08 |
| 1215209382 | Melvyn Paul Richter | Radiology | 335 Waring Rd, Elkins Park, PA 19027 | 2012-02-03 |
| Find all providers with the same taxonomy | ||||
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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.