VIJAYA SEN REDDY GADDAM (NPI# 1043674633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043674633 |
| Entity Type | Individual |
| Full Name | VIJAYA SEN REDDY GADDAM |
| Practice Address |
1873 Western Ave Suite 200 Albany NY 12203-5028 |
| Mailing Address |
201 Dey St Apt. 174 Harrison NJ 07029-1787 |
| Practice Telephone | 5188691044 |
| Mailing Telephone | (940) 395-6265 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2017-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 059473 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1873 WESTERN AVE SUITE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215982079 | Jeffrey Perkins, M.d. | Family Medicine | 1873 Western Ave, Suite 101, Albany, NY 12203-5028 | 2006-05-23 |
| 1790223618 | Thomas Clemente | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203 | 2017-02-11 |
| 1306389598 | Kinkaid Family Chiropractic Pllc | Health Maintenance Organization | 1873 Western Ave, Suite 103, Albany, NY 12203-5028 | 2016-11-21 |
| 1306398425 | Jessica Marie Kinkaid | Chiropractor | 1873 Western Ave, Suite 103, Albany, NY 12203-5028 | 2016-10-25 |
| 1518326776 | James Wu | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-02-16 |
| 1043679475 | Sneha Reddy Godi | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-02-12 |
| 1952769457 | Julien Remillard | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Albany, NY 12203-5028 | 2016-01-29 |
| 1841676087 | Justin Isaac Fox | Dentist | 1873 Western Ave, Albany, NY 12203-5028 | 2015-08-10 |
| 1326435553 | Danielle Shai | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2015-04-27 |
| 1144631839 | Evolve Physicians, PC | Psychiatry & Neurology | 1873 Western Ave, Suite 202, Albany, NY 12203-5028 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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|---|---|---|---|---|
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1447628516 | Ashley Chan | Dentist | 545 Pierce St Apt 1109, Albany, CA 94706-1048 | 2015-09-08 |
| 1174918031 | Ru-mee Han | Dentist | 12 California Ave, Apt. B510, Albany, NY 12205-2850 | 2015-03-30 |
| 1629470919 | St. Peter's Hospitalof The City of Albany | Dentist | 1092 Madison Avenue, Albany, NY 12208-2248 | 2014-09-18 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1447693064 | Ross Henry Thomas IIi | Dentist | 473 Kingswood Ct, Albany, GA 31707-3062 | 2013-04-12 |
| 1154663573 | Robert Michael Deitz | Dentist | 272 New Scotland Ave, Albany, NY 12208-3116 | 2013-03-24 |
| 1952655581 | Mh Orthodontics | Dentist | 1030 W Gordon Ave Ste A, Albany, GA 31701-4515 | 2012-11-05 |
| 1902152861 | John Frank Rymanowski | Dentist | 3 Birch Hill Rd, Albany, NY 12211-2003 | 2012-07-30 |
| Find all providers in ALBANY | ||||
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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.