Vikram Malladi (NPI# 1902814015, PAC ID# 5294833026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1902814015 |
| PAC ID by PECOS | 5294833026 |
| Professional Enrollment ID | I20080919000443 |
| Full Name | Vikram Malladi |
| Organization Legal Name | MARIN GASTROENTEROLOGY |
| Address |
200 Tamal Plz Suite 200 Corte Madera CA 94925-1196 |
| Phone Number | 4159256900 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2000 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830131580 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050360 | MARIN GENERAL HOSPITAL |
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 050008 | CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP |
| 050090 | SONOMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 | 4159256900 | MARIN GASTROENTEROLOGY |
| 7120 Redwood Blvd, Novato, CA 94945-4114 | 4159256900 | MARIN GASTROENTEROLOGY |
| Organization Legal Name | MARIN GASTROENTEROLOGY |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy M Sowerby | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Ripple Sharma | Internal Medicine | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| John Bettinger | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Wendy Z Davis | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Christopher M Hogan | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Natalie C Lee | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Street Address |
200 TAMAL PLZ SUITE 200 |
| City | CORTE MADERA |
| State | CA |
| Zip | 94925-1196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy M Sowerby | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Alexander Evan Neylon | Physical Therapy | Matrix Rehabilitation Inc | 200 Tamal Plz, Suite 120, Corte Madera, CA 94925-1195 |
| Ripple Sharma | Internal Medicine | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| John Bettinger | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Wendy Z Davis | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Christopher M Hogan | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Natalie C Lee | Gastroenterology | Marin Gastroenterology | 200 Tamal Plz, Suite 200, Corte Madera, CA 94925-1196 |
| Kelley Oconnor Park | Physical Therapy | Matrix Rehabilitation Inc | 200 Tamal Plz, Suite 120, Corte Madera, CA 94925-1195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Alan Ehrenberg | Podiatry | 52 Mohawk Ave, Corte Madera, CA 94925-1033 | |
| Chappy J Wood | Chiropractic | 150 Nellen Ave, Suite 200, Corte Madera, CA 94925-1104 | |
| Karen Nugent | Physical Therapy | 21 Tamal Vista Blvd, Suite 113, Corte Madera, CA 94925-1114 | |
| Ruth Rubin | Internal Medicine | 21 Tamal Vista Blvd, Suite 100, Corte Madera, CA 94925-1118 | |
| William Mcallister | Internal Medicine | 21 Tamal Vista Blvd, Suite 110, Corte Madera, CA 94925-1122 | |
| Arnold Lloyd Knepfer | Psychiatry | 21 Tamal Vista Blvd, Suite 212, Corte Madera, CA 94925-1127 | |
| Nina B Knox | Psychologist, Clinical | 300 Tamal Plz, Suite 140, Corte Madera, CA 94925-1131 | |
| Paulette J Cooper | Chiropractic | 300 Tamal Plz, Suite 100, Corte Madera, CA 94925-1131 | |
| Kathleen Mary Teresa Jarosz I | Clinical Social Worker | 300 Tamal Plz, Suite 140, Corte Madera, CA 94925-1131 | |
| Andrea Shelley | Clinical Psychologist | Andrea Shelley, Clinical and Forensic Psychology, A Professional Corpo | 300 Tamal Plz, Corte Madera, CA 94925-1131 |
| Find all physicians in zip 94925 | |||
| City | CORTE MADERA |
| Zip Code | 94925 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CORTE MADERA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Vikram Malladi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.