PALLAVI NADENDLA (NPI# 1033553508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033553508 |
| Entity Type | Individual |
| Full Name | PALLAVI NADENDLA |
| Credential | M.D. |
| Practice Address |
111 Founders Plz Ste 400 East Hartford CT 06108 |
| Mailing Address |
111 Founders Plz Ste 400 East Hartford CT 06108-3240 |
| Practice Telephone | 8602893375 |
| Practice Fax Number | 8607835733 |
| Mailing Telephone | 8602893375 |
| Mailing Fax Number | 8607835733 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
010167 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1364 Clifton Rd Ne # D125a, Atlanta, GA 303221059 | 4047782626 | |
| 47 New Scotland Ave, Department of Radiology, Albany, NY 12208 | 5182623371 |
| Street Address |
111 FOUNDERS PLZ STE 400 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206568 | Susan Davis | Specialist | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2005-09-20 |
| 1427588276 | Andre Curiel | Physician Assistant | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2017-06-14 |
| 1588003818 | Daniel Collins | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2013-06-20 |
| 1619312006 | Joseph A Lembo IIi | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2013-04-30 |
| 1316200769 | Payam Sajedi | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2012-06-20 |
| 1174816003 | Sean Richardson | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2011-05-25 |
| 1841466430 | David B. Blonder | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2008-05-02 |
| 1992791487 | Elizabeth Wilson | Specialist | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801872106 | Stephen K. Ohki | Radiology | 111 Founders Plz, Suite 400, East Hartford, CT 06108-3212 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083859649 | Thomas V Divinagracia | Radiology | 85 Seymour St., Suite 409, Hartford, CT 06106 | 2008-12-11 |
| 1336176270 | Daniel Jay Kase | Radiology | 57 Commercial Blvd, Torrington, CT 06790-3097 | 2006-06-27 |
| 1184686933 | Bryan Thomas Suchecki | Radiology | 65 Douglas Rd, Glastonbury, CT 06033-2219 | 2006-04-05 |
| 1669458766 | Domenic A. Zambuto | Radiology | 110 Albany Tpke, 209, Canton, CT 06019-2547 | 2005-12-20 |
| 1417933961 | Fernando F. Illescas | Radiology | 701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085 | 2005-12-16 |
| 1700494887 | Advanced Radiology Partners LLC | Radiology | 15 Corporate Dr, Trumbull, CT 06611-1351 | 2020-07-15 |
| 1417574708 | K&h Medical Ct Pllc | Radiology | 160 West Street, Builing 1 Suite 7, Cromwell, CT 06416 | 2020-07-02 |
| 1174168926 | Vinay Madan, Md, LLC | Radiology | 35 Danbury Rd, Wilton, CT 06897-4428 | 2019-11-14 |
| 1639739634 | Vein Centers, LLC | Radiology | 23 Cedar St, New Britain, CT 06052-1301 | 2019-06-20 |
| 1417361627 | James Gardner | Radiology | 20 York St, New Haven, CT 06510-3220 | 2014-06-16 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
Please comment or provide details below to improve the information on PALLAVI NADENDLA.
| 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.