ANTARA MALLAMPALLI (NPI# 1992885396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992885396 |
| Entity Type | Individual |
| Full Name | ANTARA MALLAMPALLI |
| Credential | MD |
| Practice Address |
6567 E Carondelet Ste 215 Tucson AZ 85710 |
| Practice Telephone | 5208851402 |
| Practice Fax Number | 5207225887 |
| Mailing Telephone | 5208851402 |
| Mailing Fax Number | 5207225887 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
42829 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
42829 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
42829 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 158246201 | 05 | |
| TX | 158246202 | 05 |
| Street Address |
6567 E CARONDELET STE 215 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639341266 | Sachin Chaudhary | Internal Medicine | 5968 N Campo Abierto, Tucson, AZ 85718-3456 | 2008-03-24 |
| 1881702793 | Amitab K G Puri | Internal Medicine | 5310 N La Cholla Blvd, Tucson, AZ 85741-3815 | 2006-08-29 |
| 1023039534 | Wei Shen | Internal Medicine | 3601 S 6th Ave # 1-111a, Savahcs, Tucson, AZ 85723-0001 | 2006-07-21 |
| 1689061376 | Benjamin Jay Jarrett II | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2015-04-20 |
| 1841551355 | Adam Rizvi | Internal Medicine | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2012-05-31 |
| 1164798161 | Michael Insel | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-1931 | 2012-03-24 |
| 1104010107 | Pima Lung & Sleep, PC | Internal Medicine | 5310 N La Cholla Blvd, Tucson, AZ 85741-3815 | 2007-09-01 |
| 1265630594 | Joshua Malo | Internal Medicine | 1501 N Campbell Ave, Dept of Medicine, Tucson, AZ 85724-0001 | 2007-07-09 |
| 1386840726 | Ubair Ahmed | Internal Medicine | 6567 E Carondelet Dr, Suite 215, Tucson, AZ 85710-6152 | 2007-06-22 |
| 1033320437 | Dena Kay L'heureux | Internal Medicine | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2007-05-25 |
| Find all providers in TUCSON | ||||
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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.