SATISH KUMAR REDDY GADDAM (NPI# 1023301819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023301819 |
| Entity Type | Individual |
| Full Name | SATISH KUMAR REDDY GADDAM |
| Credential | MBBS |
| Practice Address |
1504 Dodson Ave Fort Smith AR 72901-5128 |
| Mailing Address |
5375 Coit Rd Ste 130 Frisco TX 75035-4914 |
| Practice Telephone | 4797097175 |
| Practice Fax Number | 4797097180 |
| Mailing Telephone | 4797097175 |
| Mailing Fax Number | 4797097180 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R7734 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1504 DODSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871762930 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1504 Dodson Ave, Fort Smith, AR 72901-5128 | 2008-02-22 |
| 1124319744 | Vijayakumar Javalkar | Psychiatry & Neurology | 1504 Dodson Ave, Fort Smith, AR 72901-5128 | 2011-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1588143259 | Baptist Health Services | Psychiatry & Neurology | 1500 Dodson Ave Ste 290, Fort Smith, AR 72901 | 2018-08-13 |
| 1982082970 | Ernest Escarza Serrano | Psychiatry & Neurology | 3405 Ramsgate Way, Fort Smith, AR 72908-9359 | 2015-05-11 |
| 1265688956 | Southwest Neurologicl Institute Pa | Psychiatry & Neurology | 3011 Jenny Lind Rd, Fort Smith, AR 72901 | 2008-08-13 |
| 1952323297 | Tonya L Phillips | Psychiatry & Neurology | 3808 Gary St, Suite B, Fort Smith, AR 72903-5450 | 2006-07-24 |
| 1275583551 | Jon M Gustafson | Psychiatry & Neurology | 5701 Euper Ln Ste B, Fort Smith, AR 72903-3255 | 2006-05-10 |
| 1710974647 | Duane L Birky | Psychiatry & Neurology | 408 S 16th St, Fort Smith, AR 72901-4626 | 2005-10-05 |
| 1578021903 | Belclin LLC | Psychiatry & Neurology | 3011 Jenny Lind Rd, Fort Smith, AR 72901-6736 | 2019-03-05 |
| 1790170223 | Sujan Teegala Sudarshan Reddy | Psychiatry & Neurology | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2015-04-01 |
| 1174895940 | Fort Smith Hma Pbc Management, LLC | Psychiatry & Neurology | 1500 Dodson Ave, Suite 175, Fort Smith, AR 72901-5182 | 2012-02-08 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on SATISH KUMAR REDDY GADDAM.
| 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.