PRAVEEN KORIVI (NPI# 1073533881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073533881 |
| Entity Type | Individual |
| Full Name | PRAVEEN KORIVI |
| Credential | MD |
| Practice Address |
170 S Green Valley Pkwy Ste 300 Henderson NV 89012-3145 |
| Mailing Address |
2304 E Fletcher Ave Tampa FL 33612-9404 |
| Practice Telephone | 7027911294 |
| Mailing Telephone | 8136152273 |
| Mailing Fax Number | 8136322000 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14422 | NV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME93253 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004392300 | 05 |
| Street Address |
170 S GREEN VALLEY PKWY STE 300 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003824 | Emeka Madu | Nurse Practitioner | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-11-27 |
| 1770068058 | Brooke Dena Conway-kleven | Physical Therapist | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-10-02 |
| 1639658024 | Sofia Abdala | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-07 |
| 1609355098 | Channing Hayes | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-07 |
| 1316426778 | Kayla Johnson | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-07 |
| 1639657398 | Daniel Waruingi | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-08-03 |
| 1790263838 | Alicia Kundratic | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-07-31 |
| 1356829451 | Michael Dalton | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-07-31 |
| 1144708280 | Felisa Hiteshew | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012 | 2018-07-31 |
| 1932687068 | Patricia Burton | Behavioral Analyst | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807619 | Sherrin Soliman | Family Medicine | 761 Crest Valley Pl, Henderson, NV 89011-2663 | 2020-06-26 |
| 1932724143 | Qv Now Pllc | Family Medicine | 1600 Us Highway 79 S Ste B, Henderson, TX 75654-4508 | 2020-06-12 |
| 1154944544 | Partners In Primary Care Nv PC | Family Medicine | 390 W Lake Mead Pkwy, Henderson, NV 89015-7417 | 2020-05-20 |
| 1689134116 | Transforming Arts Inc | Family Medicine | 2900 N Green Valley Pkwy Ste 114, Henderson, NV 89014-0408 | 2019-03-21 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1336636521 | Bob Dillon Enterprises Ltd | Family Medicine | 90 S Stephanie St Ste 110, Henderson, NV 89012-5574 | 2018-04-13 |
| 1013425255 | Bikramjit Singh Nanar | Family Medicine | 1382 Opal Valley St, Henderson, NV 89052-3146 | 2018-01-22 |
| 1265965263 | La Boss LLC | Family Medicine | 2404 Chateau Napoleon Dr, Henderson, NV 89044-0377 | 2017-04-06 |
| 1679922959 | Sonia Garcia-jayne | Family Medicine | 2645 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052 | 2016-06-08 |
| 1043668015 | Michelle I-hung Lin | Family Medicine | 2865 Siena Heights Dr Ste 140, Henderson, NV 89052-4168 | 2016-05-31 |
| Find all providers in HENDERSON | ||||
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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.